口疮是一种常见的男性疾病,通常由睾丸和区域结构的病理改变引起。然而,超过1/4的患者的病因尚不清楚。
我们报告了两名最初患有急性疾病的男子,孤立性咽喉和后部并发轻瘫。他们以前有前列腺癌和宫颈脊髓炎的病史。两者的泌尿外科检查均为阴性。最后,前列腺癌转移和复发性脊髓炎在T2/3水平被确定,分别。尽管他们的治疗逐渐消退,他们的泌尿科,性功能和神经功能障碍持续存在。
在文献中,在T10水平以下仅发现了脊髓骨颈的病理,经常拖延肯定的诊断。因此,对T10水平以上的脊髓进行全面评估时,应提醒有脊髓疾患病史或有脊髓疾患风险且泌尿外科检查阴性的特发性颈痛.
Orchalgia is a common andrological disorder and usually results from pathognomonic change of testes and regional structures. However, responsible cause is still unknown in more than one-fourth of patients.
We report two men who initially suffered an acute, isolated orchalgia and posteriorly complicated with paraparesis. They had previous history of prostate cancer and cervical myelitis. The urological examination was negative in both of them. Finally, prostate cancer metastasis and recurrent myelitis at T2/3 level was identified, respectively. Although their orchalgia progressively subsided, their urological, sexual and neurological dysfunction persisted.
In the literature, the responsible pathology of spinal orchalgia was exclusively found below T10 level, frequently delaying affirmative diagnosis. Therefore, a thorough evaluation of spinal cord above T10 level should be alerted for idiopathic orchalgia with a pre-existing history or risk of spinal cord disorder and a negative urological examination.