Nistal M, Paniagua R, Torres A, Hidalgo L, Regadera J
Eur Urol. 1986;12(1):64-8. doi: 10.1159/000472580.
A 32-year-old male who presented with idiopathic retroperitoneal fibrosis developed peritesticular fibrosis 4 years later. The lesion appeared as a diffuse, uniform thickening without a tendency to form nodules. Histologic examination revealed a densely collagenized tissue with scattered cells, consisting mainly of fibroblasts and plasma cells. Small blood and lymphatic vessels of the tumor showed luminal dilation and perivascular edema with inflammatory infiltrates. No other associated pathology was found in the patient. We suggest that peritesticular fibrosis in this patient may be due to lymphatic drainage obstruction caused by retroperitoneal fibrosis.
一名32岁男性因特发性腹膜后纤维化就诊，4年后出现睾丸周围纤维化。病变表现为弥漫性、均匀增厚，无形成结节的倾向。组织学检查显示为致密胶原化组织，有散在细胞，主要由成纤维细胞和浆细胞组成。肿瘤的小血管和淋巴管显示管腔扩张及血管周围水肿伴炎症浸润。患者未发现其他相关病理情况。我们认为该患者的睾丸周围纤维化可能是由于腹膜后纤维化导致的淋巴引流梗阻所致。
