Viveiros Filipa, Tente David, Espiridião Paulo, Carvalho Aurora, Duarte Raquel
Serviço de Pneumologia, Centro Hospitalar de Vila Nova de Gaia/Espinho.
Rev Port Pneumol. 2009 Nov-Dec;15(6):1193-7. doi: 10.1016/s0873-2159(15)30201-4.
Testicular tuberculosis is rare, occurring in approximately 3% of patients with genital tuberculosis. It is often clinically indistinguishable from lesions such as testicular tumour and infarction and may even mimic testicular torsion. Men aged 20-50 years old are most commonly affected and often present with painful or painless enlargement of the scrotum. Ultrasound (US) is currently the best technique for imaging the scrotum and its contents and for diagnosing testicular lesions. We present the case of a 58 year-old male, followed in pneumology for pulmonary tuberculosis, who complained of pain and right scrotum enlargement in the second month of anti-tuberculosis chemotherapy. First assessment, seconded by US, suggested a neoplasic lesion, and the final diagnosis revealed testicular tuberculosis.
睾丸结核较为罕见，约占生殖器结核患者的3%。临床上它常与睾丸肿瘤、梗死等病变难以区分，甚至可能类似睾丸扭转。20至50岁的男性最常受累，通常表现为阴囊疼痛性或无痛性肿大。超声（US）是目前用于阴囊及其内容物成像和诊断睾丸病变的最佳技术。我们报告一例58岁男性病例，该患者因肺结核在呼吸科就诊，在抗结核化疗的第二个月出现右侧阴囊疼痛和肿大。经超声辅助的初步评估提示为肿瘤性病变，最终诊断为睾丸结核。
