Hackney R L, Jackson A G, Worrell R G
J Natl Med Assoc. 1986 Jan;78(1):63, 65-8.
A left testicular mass was found in a 34-year-old black man with a history of multisystem sarcoidosis of 7½ years duration. Microscopic examination of the excised testicle revealed noncaseating granulomas throughout, as well as a few such lesions in the epididymis. This is the seventh reported, microscopically proven case of sarcoidosis of the testis without significant epididymal involvement occurring in a living individual.A review of the other cases of testicular sarcoidosis in the literature reveals that most of them had a number of organs involved with this disease, similar to the subject of this report. Over one half of these patients had skin lesions with or without bone or joint manifestations, suggesting that the testis should be evaluated with particular care when any of these areas are involved. If there is a consistent association of skin, bone, and testicular lesions in this disease, genital sarcoidosis may be more common than presently thought.
在一名34岁的黑人男性中发现左侧睾丸肿物，该患者有7年半多系统结节病病史。对切除的睾丸进行显微镜检查发现，整个睾丸均有非干酪样肉芽肿，附睾中也有一些此类病变。这是第七例经显微镜证实的睾丸结节病病例，且在活体中未出现明显的附睾受累情况。对文献中其他睾丸结节病病例的回顾显示，其中大多数患者有多个器官受累，与本报告的病例相似。这些患者中超过一半有皮肤病变，伴有或不伴有骨骼或关节表现，这表明当这些部位中的任何一个受累时，应特别仔细地评估睾丸。如果在这种疾病中皮肤、骨骼和睾丸病变存在一致的关联，那么生殖器结节病可能比目前认为的更为常见。
