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年轻男性足球运动员中表现为睾丸癌的睾丸和前列腺结核

Tuberculosis of testis and prostate that mimicked testicular cancer in young male soccer player.

作者信息

Cho Young Sam, Joo Kwan Joong, Kwon Chil Hun, Park Heung Jae

机构信息

Department of Urology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.

出版信息

J Exerc Rehabil. 2013 Jun 30;9(3):389-93. doi: 10.12965/jer.130046. eCollection 2013.

Abstract

Staphylococcus infection was the most common organism found in infection of athletics, and tuberculosis (TB) was rare. Although genitourinary tuberculosis (GUTB) was the most common subtype of extrapulmonary tuberculosis (EPTB) in the past, it was recently reported to account for less than 0.5% of all patients with EPTB and 1.5% of all patients with pulmonary tuberculosis (TB). And, there are few cases reported about concomitant tuberculous infection of testis and prostate. Pubic pain is a common symptom in soccer player and its cause can be difficult to determine. A 25-yr-old male soccer player presented with persistent pubic pain of unknown origin. Incidentally, right testicular mass was detected on physical examination. Computed tomography revealed a multiple enlarged retroperitoneal lymph nodes. Under the clinical diagnosis of a right testicular tumor, right radical inguinal orchiectomy was performed. And prostate biopsy was performed due to elevated serum prostate specific antigen (PSA). Pathologic examination confirmed concomitant TB of testis and prostate.

摘要

葡萄球菌感染是运动员感染中最常见的病原体,而结核病(TB)则较为罕见。尽管过去泌尿生殖系统结核(GUTB)是肺外结核(EPTB)最常见的亚型,但最近报告显示其在所有EPTB患者中所占比例不到0.5%,在所有肺结核(TB)患者中占1.5%。而且,睾丸和前列腺合并结核感染的病例报道很少。耻骨疼痛是足球运动员的常见症状,其病因可能难以确定。一名25岁的男性足球运动员出现了原因不明的持续性耻骨疼痛。偶然间,体格检查发现右侧睾丸肿物。计算机断层扫描显示多个腹膜后淋巴结肿大。在临床诊断为右侧睾丸肿瘤后,进行了右侧根治性腹股沟睾丸切除术。由于血清前列腺特异性抗原(PSA)升高,还进行了前列腺活检。病理检查证实睾丸和前列腺合并结核。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7af2/3836531/db9224e572fc/jer-9-3-9-389_393f1.jpg

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