Yoshinaga Atsushi, Ichiyanagi Nobutaka, Ohno Rena, Ishii Nobuyuki, Chiba Koji, Kamata Shigeyoshi, Watanabe Toru, Yamada Takumi
Department of Urology, Saitama Medical Center, Saitama Medical School.
Hinyokika Kiyo. 2003 Jun;49(6):361-3.
A 47-year-old man visited our hospital with a complaint of a right intrascrotal mass. The results of a laboratory examination were unremarkable. An ultrasonographic examination of the right scrotum demonstrated a low echoic legion, 2.5 x 1.3 x 0.7 cm in diameter. A right spermatic cord tumor was diagnosed. Right high orchiectomy was performed. Microscopic examination showed a granulomatous lesion with Langhans large cells. Tuberculin skin test was strongly positive. From these findings we diagnosed the patient with tuberculosis in the spermatic cord.
一名47岁男性因右侧阴囊内肿物前来我院就诊。实验室检查结果无异常。右侧阴囊超声检查显示一个低回声团块,直径为2.5×1.3×0.7厘米。诊断为右侧精索肿瘤。遂行右侧高位睾丸切除术。显微镜检查显示为伴有朗汉斯巨细胞的肉芽肿性病变。结核菌素皮肤试验呈强阳性。根据这些发现,我们诊断该患者为精索结核。