Ishizaka K, Kamai T, Gotoh S, Fukui I, Oshima H
Department of Urology, Tokyo Medical and Dental University School of Medicine.
Hinyokika Kiyo. 1994 Feb;40(2):161-3.
A 49-year-old man visited the outpatient clinic suffering from painless swelling of the left testicular content which he had recognized 1 week earlier. The lower portion of the testis or the epididymis gave rise to a thumb-head sized irregular tumor. At the exploring operation, the tumor was revealed to be the swollen epididymal tail. Epididymectomy was performed. Microscopically, the tumor was diagnosed as an epididymal granuloma invaded by many sperm, histiocytes, macrophages, neutrophil leukocytes and lymphocytes around the epididymal tubules. Eight cases of epididymal sperm invasion reported in Japan during the recent 20 years are reviewed and briefly discussed.
一名49岁男性因1周前发现左侧睾丸内容物无痛性肿胀前来门诊就诊。睾丸下部或附睾出现一个拇指头大小的不规则肿瘤。在探查手术中，发现肿瘤为肿大的附睾尾部。遂行附睾切除术。显微镜下，肿瘤被诊断为附睾肉芽肿，附睾小管周围有许多精子、组织细胞、巨噬细胞、中性粒细胞和淋巴细胞浸润。本文回顾并简要讨论了日本最近20年报道的8例附睾精子浸润病例。
