High Orchidectomy and Histopathology to Differentiate Granulomatous Orchitis from Testicular Malignancy : Case Report and Literature Review
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- Morozumi Kento
- The Department of Urology, Yamagata Prefectural Central Hospital
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- Ozawa Michinobu
- The Department of Urology, Yamagata Prefectural Central Hospital
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- Kuromoto Akito
- The Department of Urology, Yamagata Prefectural Central Hospital
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- Sato Masahiko
- The Department of Urology, Yamagata Prefectural Central Hospital
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- Hoshi Senji
- The Department of Urology, Yamagata Prefectural Central Hospital
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- Numahata Kenji
- The Department of Urology, Yamagata Prefectural Central Hospital
Bibliographic Information
- Other Title
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- 精巣腫瘍が否定できず高位精巣摘除術を施行した肉芽腫性精巣炎の1例 --術前診断および治療法の文献的考察--
- セイソウ シュヨウ ガ ヒテイ デキズ コウイセイソウテキジョジュツ オ シコウ シタ ニクゲシュセイセイソウエン ノ 1レイ : ジュツゼン シンダン オヨビ チリョウホウ ノ ブンケンテキ コウサツ
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Abstract
A 59-year-old man presented with pain and swelling of the right scrotum. Magnetic resonance imaging revealed a mass withsignal intensity similar to background on an apparent diffusion coefficient (ADC)-map of the upper region of the right testis. Inflammation was considered, but a testicular tumor could not be ruled out. Right high orchidectomy and histopathological assessment revealed granulomatous orchitis. The cause, clinical course and treatment of rare granulomatous orchitis remain unknown. Granulomatous orchitis and testicular tumor are difficult to discriminate, and high orchidectomy is usually applied along with histopathological assessment to achieve a definitive diagnosis. On the other hand, some patients who were only medically treated for granulomatous orchitis have recovered. We recently found that diffusionweighted imaging and ADC values derived from magnetic resonance images can differentiate testicular tumor from orchitis. We suggest an algorithm for the diagnosis and treatment of granulomatous orchitis considering the present patient and previous reports.
Journal
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- 泌尿器科紀要
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泌尿器科紀要 64 (2), 75-78, 2018-02-28
泌尿器科紀要刊行会
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Keywords
Details 詳細情報について
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- CRID
- 1390853649774887552
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- NII Article ID
- 120006462475
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- NII Book ID
- AN00208315
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- HANDLE
- 2433/230891
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- NDL BIB ID
- 028868761
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- ISSN
- 00181994
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- PubMed
- 29684954
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- Text Lang
- ja
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- Data Source
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- JaLC
- IRDB
- NDL
- PubMed
- CiNii Articles
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- Abstract License Flag
- Allowed