Pérez-Guillermo M, Thor A, Löwhagen T
Department of Cytology, Karolinska Hospital, Stockholm, Sweden.
Acta Cytol. 1989 Jan-Feb;33(1):1-5.
Spermatic granulomas may present as tumorlike lesions adjacent to the testis or seminal vesicle and are often associated with infection, trauma or previous surgery. The fine needle aspiration biopsy cytologic findings in three cases of spermatic granuloma are reported. The predominant cytologic features were granulomatous inflammation (nontuberculous and non-foreign body) and spermatozoids (intrahistiocytic or as extracellular spermatic debris). Additional features included lymphoid cells and lymphocytic debris (nuclear tangles), rare plasma cells and eosinophils. Germ cells and acellular (caseous) necrosis were not identified. Well-preserved sheets of epididymal epithelium were occasionally noted. The clinical and cytologic differential diagnoses in such cases are discussed.
精子肉芽肿可表现为睾丸或精囊附近的肿瘤样病变，常与感染、创伤或既往手术有关。本文报告了3例精子肉芽肿的细针穿刺活检细胞学检查结果。主要细胞学特征为肉芽肿性炎症（非结核性和非异物性）和精子（组织细胞内或细胞外精子碎片）。其他特征包括淋巴细胞和淋巴细胞碎片（核缠结）、罕见的浆细胞和嗜酸性粒细胞。未发现生殖细胞和无细胞（干酪样）坏死。偶尔可见保存完好的附睾上皮细胞片层。文中讨论了此类病例的临床和细胞学鉴别诊断。
