Navai Neema, Yap Ronald L, Gupta Rohit, Fraser Thomas G, Gonzalez Christopher M
Department of Urology, Division of Infectious Diseases, McGaw Medical Center, Northwester University Feinberg School of Medicine, Chicago, IL, USA.
Int J Urol. 2005 Apr;12(4):424-6. doi: 10.1111/j.1442-2042.2005.01065.x.
Inflammatory pseudotumors are a rare entity, the etiology of which is not well understood. It has been postulated that these non-neoplastic lesions are the result of a reaction to trauma, surgery, infection or local irritation, though in many cases an underlying cause is never found. In this case, a 30-year-old man with previously undiagnosed human immunodeficiency virus presented with a 2-week history of painless right testicular mass measuring 1 x 1 cm. The patient underwent right radical orchiectomy with histopathological analysis revealing an inflammatory pseudotumor of the testis. Further work up pointed to acute retroviral syndrome as the likely cause.
炎性假瘤是一种罕见的病变,其病因尚不完全清楚。据推测,这些非肿瘤性病变是对创伤、手术、感染或局部刺激的反应结果,尽管在许多情况下从未找到潜在病因。在本病例中,一名30岁男性,此前未诊断出感染人类免疫缺陷病毒,出现了一个1×1厘米大小的无痛性右侧睾丸肿块,病史为2周。患者接受了右侧根治性睾丸切除术,组织病理学分析显示为睾丸炎性假瘤。进一步检查表明急性逆转录病毒综合征可能是病因。