原発性精索結核の3例

Abstract

Three cases of primary tuberculosis of the spermatic cord are reported. In the first case, the patient was 66 years old. His chief complaint was a mass in the right scrotum. Diagnosis was a tumor in the right epididymis. At operation, a mass (2×1.5×1.5cm) was excised from the spermatic cord. In the second case, the patient was 42 years old. His chief complaints were a mass and pain in the left scrotum. The diagnosis was tuberculosis of the left epididymis. At operation, a mass (1.5×1.0×1.0cm), a part of which adhered to the head of the epididymis, was excised from the spermatic cord. In the third case, the patient was 43 years old. His chief complaints were a mass and pain in the left scrotum. Diagnosis was a tumor in the left spermatic cord, and an operation was performed. Although there was a mass the size of the tip of the thumb in the spermatic cord approximately 3cm from the head of the left epididymis, it could not be excised because it was adhered firmly to the peripheral tissues. Therefore, a biopsy was performed. The 3 patients were histologically diagnosed as having tuberculosis and were treated with antituberculotic drugs. None of them had had a past history of tuberculosis. The literature on 106 patients who had primary tuberculosis of the spermatic cord were reviewed concerning age, sites of the lesions in an infected area, and preoperative diagnosis.