Okajima E, Cho M, Maruyama Y
Department of Urology, Matsusaka-chuo-sogo Hospital.
Hinyokika Kiyo. 1994 Dec;40(12):1123-6.
A case of asymptomatic synchronous bilateral granulomatous orchitis in a 79-year-old male patient is described. He was diagnosed with asymptomatic microhematuria, and referred to our outpatient clinic. In the physiological examination, there were stone-hard indurations in his bilateral testes. There were multiple hypoechoic areas in the scrotal ultrasonography. Bilateral testicular tumor was suspected. However, histological findings after bilateral orchidectomy revealed granulomatous orchitis. Abdominal computed tomography revealed swelling of the paraaortic lymph nodes postoperatively. However no malignant origin was detected. Differential diagnosis between testicular tumor and granulomatous orchitis is very difficult in any examination except by histological findings. Conservative therapy is usually not effective, and most cases are treated by orchidectomy. Bilateral cases of this entity are relatively rare, but in young cases, it is necessary to distinguish the granulomatous orchitis from the testicular tumor before surgical intervention.
本文描述了一例79岁男性患者的无症状同步双侧肉芽肿性睾丸炎病例。他被诊断为无症状性镜下血尿，并转诊至我院门诊。体格检查发现其双侧睾丸有石样硬的硬结。阴囊超声检查发现多个低回声区。怀疑双侧睾丸肿瘤。然而，双侧睾丸切除术后的组织学检查结果显示为肉芽肿性睾丸炎。腹部计算机断层扫描显示术后腹主动脉旁淋巴结肿大。但未发现恶性病变。除组织学检查结果外，在任何检查中鉴别睾丸肿瘤和肉芽肿性睾丸炎都非常困难。保守治疗通常无效，大多数病例采用睾丸切除术治疗。该疾病的双侧病例相对少见，但对于年轻病例，在手术干预前有必要将肉芽肿性睾丸炎与睾丸肿瘤区分开来。
