Garbyal Rajendra Singh, Gupta Prajwala, Kumar Sunil
Department of Pathology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India.
Diagn Cytopathol. 2006 Oct;34(10):698-700. doi: 10.1002/dc.20538.
An isolated tuberculous Orchitis without epididymal involvement is rare. This case report describes an extra pulmonary tuberculosis with exclusively testicular presentation. The confirmatory diagnosis of which was made on FNAC of the testis. A 22-year-old adult presented with unilateral testicular enlargement and scrotal ulcer on the same side. FNAC was performed and subsequent smear examination revealed epitheloid granuloma in a necrotic background. This was suggestive of tubercular orchitis, which was further confirmed by demonstration of very occasional acid fast bacilli in the smear. Isolated tuberculous orchitis is a rare entity; FNAC is a useful first choice of investigation. It provides a successful diagnosis thereby preventing unnecessary orchidectomy.
孤立性结核性睾丸炎而无附睾受累的情况罕见。本病例报告描述了一例仅以睾丸表现的肺外结核病。其确诊是通过睾丸细针穿刺抽吸活检（FNAC）做出的。一名22岁成年人出现单侧睾丸肿大及同侧阴囊溃疡。进行了FNAC，随后的涂片检查在坏死背景中发现上皮样肉芽肿。这提示为结核性睾丸炎，涂片偶尔发现抗酸杆菌进一步证实了这一点。孤立性结核性睾丸炎是一种罕见疾病；FNAC是有用的首选检查方法。它能成功做出诊断，从而避免不必要的睾丸切除术。
