Kuwahara M, Matsushita K, Nakamura K, Yoshinaga H, Aki M, Fujisaki N, Furihata M, Ohtsuki Y
Department of Urology, Fujisaki Hospital.
Hinyokika Kiyo. 1993 Apr;39(4):369-72.
A 61-year-old man was admitted to our hospital with a 8-day history of dull pain and swelling in the bilateral scrotum and bilateral inguinal region. Neoplasma of the spermatic cord was suspected, and bilateral orchiectomy was immediately carried out. Histopathological examination revealed thromboangiitis obliterans of the spermatic cord. The differential diagnosis of a tumorous lesion in the inguinal region is frequently difficult. In such a case, surgical exploration is recommended, and a biopsy must be performed for a definitive diagnosis, but orchiectomy should not be readily selected. Our patient is the first reported case in Japan to our knowledge.
一名61岁男性因双侧阴囊及双侧腹股沟区钝痛和肿胀8天入院。怀疑精索有肿瘤，遂立即进行双侧睾丸切除术。组织病理学检查显示精索血栓闭塞性脉管炎。腹股沟区肿瘤性病变的鉴别诊断通常很困难。在这种情况下，建议进行手术探查，必须进行活检以明确诊断，但不应轻易选择睾丸切除术。据我们所知，我们的患者是日本首例报道的病例。
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