陰茎癌様に進行した陰茎結核の1例

Abstract

A 47-year-old man was admitted with chief complaint of deep ulceration of the glans penis simulating cancer of the penis with swelling of bilateral inguinal lymph nodes. Biosy of the glans and the lymph node showed nonspecific granulomatous change. The circumcision was performed for phimosis. Histopathological findings of the removed specimen revealed tuberculosis. Langhan type giant cells were present in the epithelial granuloma but acid-fast bacillus was not identified in the Ziehl-Neels en preparation Urine cultures for acid-fast bacillus were negative. Tuberculin tests gave an area of induration 4 cm in diameter. Other urogenital organs and lung showed no evidence of tuberculous lesion. A diagnosis of primary tuberculosis of the penis was made. The patient was treated with isoniazid, streptomycin and rifampicin. After the treatment of approximately 5 months the penile lesion showed marked healing. Tuberculcsis of the penis is a rare disease. We reviewed and discussed 10 cases in Japan reported in these 9 years.