Salako Abdulkadir A, Olasode Babatunde J, Eziyi Amogu K, Osasan Stephen A
Department of Surgery, Obafemi Awolowo University, Ile-Ife, Nigeria.
Int J Urol. 2006 Feb;13(2):186-8. doi: 10.1111/j.1442-2042.2006.01258.x.
Xanthogranulomatous orchitis (XGO) is a rare benign disease of the testis which has not been previously documented in tropical Africa. We report a case of a 24-year-old Nigerian man who presented with a painless left hemiscrotal swelling. Our clinical diagnosis was left testicular cancer. Testicular tumor markers were normal. At surgical exploration, we found a left testicular tumor. Histopathological examination of the specimen showed XGO of the left testis. He had left radical orchiectomy and left inguinal node dissection. He has remained stable 8 months after the treatment. Xanthogranulomatous orchitis cannot be distinguished clinically from testicular cancer unless by histopathological examination. Orchiectomy is the treatment of choice. However, in all patients and particularly young patients and those with a single testis, histopathological confirmation is suggested to avoid unnecessary radical orchiectomy, useless irradiation and ill-timed chemotherapy.
黄色肉芽肿性睾丸炎（XGO）是一种罕见的睾丸良性疾病，此前在热带非洲地区尚无相关记录。我们报告一例24岁尼日利亚男性病例，该患者表现为左侧阴囊无痛性肿胀。我们的临床诊断为左侧睾丸癌。睾丸肿瘤标志物正常。手术探查时，我们发现左侧睾丸有肿瘤。标本的组织病理学检查显示为左侧睾丸黄色肉芽肿性睾丸炎。他接受了左侧根治性睾丸切除术和左侧腹股沟淋巴结清扫术。治疗8个月后，他的病情一直稳定。除非通过组织病理学检查，黄色肉芽肿性睾丸炎在临床上无法与睾丸癌区分开来。睾丸切除术是首选的治疗方法。然而，对于所有患者，尤其是年轻患者和单睾丸患者，建议进行组织病理学确诊，以避免不必要的根治性睾丸切除术、无效的放疗和时机不当的化疗。
