Emberton M, Ellis B W, Duchesne G M
Department of Surgery, Ashford Hospital, Middlesex, UK.
Clin Oncol (R Coll Radiol). 1992 Jan;4(1):56-7. doi: 10.1016/s0936-6555(05)80779-4.
A 33-year-old man subsequently diagnosed as having sarcoidosis presented with the clinical features of a testicular tumour with metastatic spread to para-aortic lymph nodes. Histological examination of the testis and para-aortic lymph node biopsy showed florid granulomatous change and a Kveim test was positive. This is a previously unreported presentation of sarcoidosis and emphasizes that histological confirmation of malignancy is essential prior to institution of cytotoxic therapy.
一名33岁男性随后被诊断为结节病，表现出睾丸肿瘤伴主动脉旁淋巴结转移的临床特征。睾丸和主动脉旁淋巴结活检的组织学检查显示有明显的肉芽肿性改变，Kveim试验呈阳性。这是结节病一种此前未报告过的表现，强调在开始细胞毒性治疗之前，恶性肿瘤的组织学确诊至关重要。
