Liang Tiancai, Liang Guobiao, Du Yang, Wang Xin, Wang Yuanliang, Chen Anjian, Chen Zongping, Du Jiang, Li Hao, Yu Lang
Urological Department, the Affiliated Hospital of Zunyi Medical College, Zunyi, China.
Medicine (Baltimore). 2018 Apr;97(14):e0328. doi: 10.1097/MD.0000000000010328.
Paragonimiasis is a parasitic disease caused by Paragonimus in the lungs; it can be divided into intrapulmonary type and extrapulmonary type. Adult patients with scrotal paragnonimus are rarely seen clinically and not widely reported in the literature. Here, we report 2 cases of scrotal paragonimiasis in adults and their treatment process.
Two young males sought medical advice because of scrotal masses. Both patients had the previous history of eating uncooked river crabs and presented with palpable quasicircular nodules of about 1.5 × 1.0 cm in testicles, which were well-defined, resilient in tenderness. The bilateral inguinal lymph nodes were not enlarged.
The 2 patients underwent scrotal mass resection; postoperative pathology examination confirmed scrotum paragonimiasis. Both the patients were administered praziquantel after operation.
They were followed up for 1 year and 4 years, respectively; both recovered well, free from recurrence. Scrotum color Doppler ultrasound examination found no obvious abnormality.
Adult patients with scrotum paragonimiasis are rarely seen clinically. Moreover, its clinical manifestations are not typical that leads to missed diagnosis and misdiagnosis. Diagnosis of the disease needs to combine with disease histories, manifestations, and relevant auxiliary examinations. But the diagnosis can be confirmed only by histopathological examination. The main method for treatment of scrotal paragonimiasis is antiparasitic treatment. However, health education is crucial to prevent this disease and relapse.
肺吸虫病是由肺吸虫寄生于肺部引起的寄生虫病，可分为肺内型和肺外型。成年阴囊肺吸虫病患者临床罕见，文献报道不多。在此，我们报告2例成年阴囊肺吸虫病患者及其治疗过程。
两名年轻男性因阴囊肿物就诊。两名患者均有食用生河蟹史，睾丸可触及约1.5×1.0cm的类圆形结节，边界清晰，触之有弹性，压痛明显。双侧腹股沟淋巴结未肿大。
两名患者均接受了阴囊肿物切除术；术后病理检查确诊为阴囊肺吸虫病。术后均给予吡喹酮治疗。
分别随访1年和4年；两人恢复良好，无复发。阴囊彩色多普勒超声检查未发现明显异常。
成年阴囊肺吸虫病患者临床罕见。此外，其临床表现不典型，易导致漏诊和误诊。该病的诊断需要结合病史、临床表现及相关辅助检查，但只有通过组织病理学检查才能确诊。阴囊肺吸虫病的主要治疗方法是抗寄生虫治疗。然而，健康教育对于预防该病及复发至关重要。
