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阴囊皮肤结节:皮脂腺囊肿还是结核?一个经验教训!

Scrotal skin nodule: sebaceous cyst or tuberculosis? A lesson learnt!

作者信息

Joseph Jojo, Menon Abhinav, Ramanathan Rudra, Misra Deeksha, Rodrigues Gabriel

机构信息

1 Interns, Department of General Surgery, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India.

2 Professor, Department of General Surgery, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India.

出版信息

Trop Doct. 2018 Jul;48(3):240-242. doi: 10.1177/0049475518768957. Epub 2018 Apr 13.

DOI:10.1177/0049475518768957
PMID:29649950
Abstract

Tuberculosis (TB) is a great mimic of many diseases and may present a dilemma in diagnosis. Sebaceous cyst is the commonest swelling that occurs in the scrotal skin. We present a 23-year-old patient who presented with a painful hard scrotal skin nodule, clinically diagnosed to be an infected calcified sebaceous cyst, excised and reported to be due to TB. Nodular scrotal skin TB is extremely rare but should nonetheless be considered as a differential diagnosis in regions where it is prevalent. Thus, excision of any suspicious nodule is indicated.

摘要

结核病(TB)极易与多种疾病混淆,可能在诊断上造成困难。皮脂腺囊肿是阴囊皮肤最常见的肿物。我们报告一名23岁患者,其阴囊皮肤出现一个疼痛性硬结节,临床诊断为感染性钙化皮脂腺囊肿,切除后病理报告为结核病。结节性阴囊皮肤结核极为罕见,但在其流行地区仍应作为鉴别诊断考虑。因此,对于任何可疑结节均应进行切除。

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