附睾精子肉芽肿误诊囊肿并感染1例

摘要

附睾精子肉芽肿是一种发病率较低的肉芽肿性慢性炎症，精子肉芽肿临床少见，位于附睾头尾部易误诊为囊肿、结核，位于输精管旁、腹股沟区易误诊为结核、肿瘤等，B超及CT、MRI检查缺乏特异性，常需手术切除肿块病理确诊。现报告1例并搜集相关文献对其进行分析，总结经验，以提高对该种疾病的临床诊断和治疗水平。%Epididymal sperm granuloma is a low incidence of chronic granulomatous inflammation,rare sperm granuloma in clinical,located in the caput and cauda epididymidis easily misdiagnosed as cyst,tuberculosis,located beside the vas deferens. Inguinal region is easily misdiagnosed as tuberculosis,cancer and so on.The B ultrasound,CT and MRI examination are lack of specificity.Operation is often needed for excision tumor pathological diagnosis.We report 1 case and collect related literature analysis,to sum up experience,and in order to improve the diagnosis and treatment of the disease.