Wegener肉芽腫症にみた睾丸膿瘍の1例

Abstract

A case of testicular abscess with Wegener's granulomatosis in a 31-year-old man was presented in this paper. He noticed a painless mass in the left scrotum during the treatment of Wegener's granulomatosis. The mass was markedly hard in consistency, smooth on the surface and there was no adhesion to the scrotum. The preoperative diagnosis was an intrascrotal malignant tumor, therefore a high orchiectomy was performed. The surgical specimen demonstrated a solid, round tumor, 7 X 4 X 4 cm in size and contained yellowish green fluid whose bacteriological study was negative. On histological examination it was identified as necrotizing angitis of the testis. Literature was reviewed briefly and some comments were mentioned on pathogenesis.