| Limited Wegener＇s granulomatosis of the epididymis and testis |
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| 作者姓名： | Lee SS Tang SH Sun GH Yu CP Jin JS Chang SY |
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| 作者单位： | [1]Division of Urology, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, National Defense University, Taipei, Taiwan 114, China [2]Department of Pathology, Tri-Service General Hospital, National Defense Medical Center, National Defense University, Taipei, Taiwan 114, China |
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| 摘 要： | A case is presented of Wegener＇s granulomatosis limited to the testis and epididymis, simultaneously, in a 69-year-old man. Orchiectomy was carried out through an inguinal incision under the presumptive diagnosis of a right testicular tumor. A hard, irregular mass occupied the upper testicle and a portion of the epididymal head was visualized. Histopathologic examination of the specimen showed granulomatous inflammation of the testis and epididymis with prominent angiocentric granulomata in the walls of arteries, veins and foci of fibrinoid necrosis, surrounded by palisading inflammatory cells with a few giant cells. The diagnosis of limited Wegener＇s granulomatosis was considered, although antineutrophil cytoplasmic antibody （c-ANCA） test was negative 2 weeks after orchiectomy. The patient showed an excellent response after local complete excision. He remains free of disease 18 months after orchiectomy.
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| 关 键 词： | 肉芽肿病 附睾 睾丸 病理机制 |
| 收稿时间： | 2006-02-31 |
| 修稿时间： | 2006-02-312006-04-20 |
Limited Wegener's granulomatosis of the epididymis and testis |
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| Lee SS,Tang SH,Sun GH,Yu CP,Jin JS,Chang SY.Limited Wegener's granulomatosis of the epididymis and testis[J].Asian Journal of Andrology,2006,8(6):737-739. |
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| Authors: | Lee Shang-Sen Tang Shou-Hung Sun Guang-Huan Yu Cheng-Ping Jin Jong-Shiaw Chang Sun-Yran |
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| Institution: | Division of Urology, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, No. 325, Sec 2, Cheng-Gung Rd, Nei-Hu, Taipei, Taiwan 114, China. |
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| Abstract: | A case is presented of Wegener's granulomatosis limited to the testis and epididymis, simultaneously, in a 69-year-old man. Orchiectomy was carried out through an inguinal incision under the presumptive diagnosis of a right testicular tumor. A hard, irregular mass occupied the upper testicle and a portion of the epididymal head was visualized. Histopathologic examination of the specimen showed granulomatous inflammation of the testis and epididymis with prominent angiocentric granulomata in the walls of arteries, veins and foci of fibrinoid necrosis, surrounded by palisading inflammatory cells with a few giant cells. The diagnosis of limited Wegener's granulomatosis was considered, although antineutrophil cytoplasmic antibody (c-ANCA) test was negative 2 weeks after orchiectomy. The patient showed an excellent response after local complete excision. He remains free of disease 18 months after orchiectomy. |
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| Keywords: | Wegener's granulomatosis testis epididymis |
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