Brauner M, Prot A, Vivet F, Hassan M
J Radiol. 1985 Nov;66(11):721-4.
Three patients presented with atypical subacute epididymal disorders diagnosed clinically as a scrotal tumor. Ultrasound imaging provided satisfactory morphologic data on lesions. Cold surgery was performed, either because of major functional disturbance (multiple epididymal abscesses) or because of doubt with respect to diagnosis (spermatic granuloma and epididymal hematoma). Castration was the final procedure in each case. Even though this surgical attitude appears logical because of the serious nature of the lesions, the revised clinical diagnosis provided by ultrasonography and the very good correlation between pathologic and ultrasonic findings should lead to a more eclectic therapeutic attitude in other cases.
三名患者表现为非典型性亚急性附睾疾病，临床诊断为阴囊肿瘤。超声成像提供了关于病变的令人满意的形态学数据。由于严重的功能障碍（多发性附睾脓肿）或诊断存疑（精子肉芽肿和附睾血肿），实施了冷冻手术。每例最终均进行了去势手术。尽管鉴于病变的严重性，这种手术方式看似合理，但超声检查提供的修正临床诊断以及病理与超声检查结果之间的良好相关性，应促使在其他病例中采取更为灵活的治疗态度。
