Sadeeq Kamiran J, Yaqo Rafil T, Mohammed Ayad Ahmad
College of Medicine, Department of Surgery, University of Duhok. Duhok City, Kurdistan Region, Iraq.
College of Medicine, University of Duhok. Duhok City, Kurdistan Region, Iraq.
Urol Case Rep. 2019 Jun 26;26:100954. doi: 10.1016/j.eucr.2019.100954. eCollection 2019 Sep.
Inflammatory pseudo tumor of the tunica is rare and typically presents as long standing, painless scrotal mass. A 23-year-old man had palpable, multiple, hard scrotal masses for 3 months. Laboratory investigations were normal (including LDH, AFP, HCG). Radical inguinal orchiectomy done. Macroscopically the testis and epididymis were normal, with multiple gray nodules surrounding the testis and epididymis, attached to the tunica albuginea and vaginalis, had smooth surface, partly whorled cut surface. Histologically, the nodules were well circumscribed, consisting of fibrous tissue, with infiltration by plasma cells and mononuclear inflammatory cells, giving the diagnosis of plasma cell granulomas.
白膜炎性假瘤罕见，通常表现为长期存在的无痛性阴囊肿块。一名23岁男性有可触及的多个阴囊硬性肿块，持续3个月。实验室检查正常（包括乳酸脱氢酶、甲胎蛋白、人绒毛膜促性腺激素）。行根治性腹股沟睾丸切除术。大体检查显示睾丸和附睾正常，睾丸和附睾周围有多个灰色结节，附着于白膜和鞘膜，表面光滑，部分切面呈漩涡状。组织学检查显示，结节边界清晰，由纤维组织构成，有浆细胞和单核炎性细胞浸润，诊断为浆细胞性肉芽肿。
