Kao H-W, Wu C-J, Chen C-Y, Sun G-H, Lee S-S, Peng Y-J
Department of Radiology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China.
Arch Androl. 2005 Sep-Oct;51(5):407-11. doi: 10.1080/014850190944393.
From April 1994 to November 2004, a total of 65 patients with malignant testicular tumors underwent surgical interventions in our hospital. Clinical presentations and imaging findings led to quiet accurate preoperative diagnosis of malignant tumor, except for one case, a 29-year-old male, presenting with episodes of painful swelling in the right scrotum. All the findings including color duplex ultrasonography (US) and scintigraphy were considered as right epididymo-orchitis. Unfortunately, the patient presented with metastatic lymphadenopathy of the neck from mixed germ cell tumor of the testis 2 months later. Close follow-up for patients with suspected epididymo-orchitis is very important.
1994年4月至2004年11月，我院共有65例睾丸恶性肿瘤患者接受了手术治疗。除1例29岁男性患者外，临床表现和影像学检查结果均能在术前较为准确地诊断出恶性肿瘤，该患者表现为右侧阴囊反复出现疼痛性肿胀。包括彩色双功能超声（US）和闪烁扫描在内的所有检查结果均被认为是右侧附睾炎或睾丸炎。不幸的是，2个月后该患者出现了睾丸混合性生殖细胞肿瘤颈部转移性淋巴结病。对疑似附睾炎或睾丸炎的患者进行密切随访非常重要。
