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40_1123.pdf | 2.79 MB | Adobe PDF | 見る/開く |
タイトル: | 無症候性両側同時発生の肉芽腫性精巣炎の1例 |
その他のタイトル: | Asymptomatic synchronous bilateral granulomatous orchitis--a case report |
著者: | 岡島, 英二郎 趙, 順規 丸山, 良夫 |
著者名の別形: | Okajima, Eijiro Cho, Masaki Maruyama, Yoshio |
キーワード: | Granulomatous orchitis Bilateral Synchronous Asymptomatic |
発行日: | Dec-1994 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 40 |
号: | 12 |
開始ページ: | 1123 |
終了ページ: | 1126 |
抄録: | 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. |
URI: | http://hdl.handle.net/2433/115409 |
PubMed ID: | 7863867 |
出現コレクション: | Vol.40 No.12 |
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