Tanikawa K, Matsushita K, Ohkoshi M
Hinyokika Kiyo. 1985 Jun;31(6):1065-70.
Tuberculosis of the penis is a rare disease. We report a case of tuberculosis of the penis. A 51-year-old man noticed a painless induration with a central ulceration on the glans penis. He had a history of tuberculosis of cervical lymph-nodes, right epididymis and leg skin. Examination of the other parts showed no evidence of tuberculosis. Tuberculin test was strongly positive. The skin lesion of the glans was excised. The pathology was epithelioid cell granuloma with Langhans' giant cell, indicative of tuberculosis. But acid-fast bacilli were not detected in the Ziehl-Neelsen preparation of the tissue. The patient was treated with isoniazid, rifampicin and cycloserine. After the treatment for approximately 5 months, recurrence was not observed and enlargement of cervical lymphadenopathy improved. We reviewed 39 cases of tuberculosis of the penis reported in Japan during the past 14 years.
阴茎结核是一种罕见疾病。我们报告一例阴茎结核病例。一名51岁男性注意到阴茎头有一无痛性硬结，中央有溃疡。他有颈部淋巴结、右侧附睾和腿部皮肤结核病史。其他部位检查未发现结核证据。结核菌素试验呈强阳性。切除了阴茎头的皮肤病变。病理检查为上皮样细胞肉芽肿伴朗汉斯巨细胞，提示为结核。但在组织的齐-尼氏染色涂片中未检测到抗酸杆菌。患者接受异烟肼、利福平和环丝氨酸治疗。治疗约5个月后，未观察到复发，颈部淋巴结肿大有所改善。我们回顾了过去14年日本报告的39例阴茎结核病例。
