Sekita Nobuyuki, Nishikawa Rika, Fujimura Masaaki, Sugano Isamu, Mikami Kazuo
The Department of Urology, Chibaken Saiseikai Narashino Hospital.
Hinyokika Kiyo. 2012 Jan;58(1):53-5.
Tertiary syphilis is recently a rare disease in Japan. In this paper, we report a rare case of syphilitic orchitis. The patient was in his early forties. The left scrotal contents were swelling and a low echoic nodule measuring about 30 mm in diameter was detected on ultrasonography. Serum alpha fetoprotein, lactate dehydrogenase, and beta subunit of human chorionic gonadotropin were within the normal range, whereas Treponema pallidum hemagglutination assay and rapid plasma reagin were strongly positive. High orchiectomy was performed for suspicion of testicular tumor. Histological findings showed the non-specific inflammatory granuloma with lympho-plasmatic infiltration. It was diagnosed as granulomatous inflammation of left testis caused by syphilis.
三期梅毒在日本近来是一种罕见疾病。在本文中，我们报告了一例罕见的梅毒性睾丸炎病例。患者为四十岁出头。左侧阴囊内容物肿胀，超声检查发现一个直径约30毫米的低回声结节。血清甲胎蛋白、乳酸脱氢酶和人绒毛膜促性腺激素β亚基在正常范围内，而梅毒螺旋体血凝试验和快速血浆反应素呈强阳性。因怀疑睾丸肿瘤而行高位睾丸切除术。组织学检查结果显示为伴有淋巴细胞和浆细胞浸润的非特异性炎性肉芽肿。诊断为梅毒引起的左侧睾丸肉芽肿性炎症。
