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Article in Japanese
Abstract
Case Report
Testicular Sarcoidosis
Mikio Toyoshima1) 2) Kingo Chida2) Masafumi Masuda1) Toyohisa Eguchi1) Shiro Imokawa2) Yutaro Nakamura2) Takafumi Suda2) g Hirotoshi Nakamura2)
1)Internal Medicine, Shimizu Municipal Hospital, 1231 Miyakami, Shimizu 424-8636, Japan
2)Second Division, Department of Internal Medicine, Hamamatsu University School of Medicine, 3600 Handacho, Hamamatsu 431-3192, Japan
ABSTRACT
We report a rare case of testicular sarcoidosis. A 68-year-old man was admitted for detailed examination of uveitis and swelling of the testes. A chest X-ray film and computed tomographic scans disclosed ground-glass shadows in the lower fields of both lungs with mediastinal lymphadenopathy. Ga scintigram showed pronounced accumulations in the testes, hilum, and mediastinum. Transbronchial lung and testicular biopsy specimens demonstrated noncaseating epithelioid granulomas, thus confirming the diagnosis of sarcoidosis with testicular involvement. The patient was followed up without systemic steroids. A review of the world literature found only 12 reported cases of clinically evident testicular sarcoidosis.
KEYWORDS
Testicular sarcoidosis Genital sarcoidosis Extrapulmonary lesion of sarcoidosis
Received 平成11年6月30日
JJRS, 38(1): 63-66, 2000
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