PDF(Pubmed)
Abstract：
Segmental testicular infarction is an uncommon condition, of which the majority of cases are idiopathic. Cases associated with atherosclerotic disease are extremely rare, with only two other cases reported in the literature to our knowledge. We report the case of a 71-year-old man who presented with left testicular pain and a mass. Ultrasound imaging confirmed an upper pole left testicular mass, and he subsequently underwent radical inguinal orchidectomy for presumed testicular malignancy. Histological analysis revealed a segmental testicular infarction related to arterial atheroma. Segmental testicular infarction can mimic other pathologies, such as testicular torsion or cancer, resulting in misdiagnosis and potentially unnecessary surgery. Increased awareness of the risk factors and clinical features may help clinicians identify and appropriately manage this uncommon pathology.
摘要：
睾丸节段性梗死是一种罕见的疾病，其中大多数病例是特发性的。与动脉粥样硬化疾病相关的病例极为罕见，据我们所知，文献中只报道了另外两个病例。我们报告了一名71岁的男子，他出现了左睾丸疼痛和肿块。超声成像证实左睾丸上极肿块，随后他接受了根治性腹股沟睾丸切除术，推测为睾丸恶性肿瘤。组织学分析显示与动脉粥样硬化有关的节段性睾丸梗塞。睾丸节段性梗死可以模仿其他病理，如睾丸扭转或癌症，导致误诊和可能不必要的手术。提高对危险因素和临床特征的认识可能有助于临床医生识别和适当管理这种罕见的病理。
