Clinical aspects of granulomatous orchitis

Fauer, R.B.; Goldstein, A.M.B.; Green, J.C.; Onofrio, Richard

doi:10.1016/0090-4295(78)90292-3

Cited by 14 publications

(15 citation statements)

References 7 publications

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“…El papel de la infección en la etiología de la OG idiopáticas no debe ser olvidado. Se ha encontrado infección bacteriana del tracto urinario, en pacientes con OG (hasta el 30% de los casos en alguna serie), pero no se ha podido demostrar directamente su relación 3,11,13 .…”

Section: Discussionunclassified

“…La orquiectomía es el único tratamiento efectivo. No parece existir relación entre la OG y el carcinoma testicular, no se ha descrito ningún caso de OG que presentase simultánea o posteriormente neoplasia testicular 8,11,15 .…”

Section: Destrucción De Las Células Germinales En Los Túbulos Seminífunclassified

“…La combinación de la historia clínica junto el estudio de laboratorio y la ecografía nos pueden dar el diagnóstico 3,11,13 . Nosotros presentamos un raro caso de orquitis granulomatosa idiopá-tica con afectación sincrónica de ambos testículos, lesión bilateral con sólo 4 casos publicados en la literatura 4,6,7,10 .…”

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Orquitis granulomatosa idiopática bilateral

Rey

Manzanilla²,

Tello

2008

Actas Urol Esp

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RESUMENORQUITIS GRANULOMATOSA IDIOPATICA BILATERAL Describimos un raro caso de sincronismo asintomático de orquitis idiopática granulomatosa bilateral. La ecografia escrotal muestra múltiples áreas hipocóicas, el diagnóstico diferencial entre tumor y orquitis granulomatosa es muy difícil y sólo el examen histológico lo confirmará.Palabras clave: Granuloma. Orquitis. Idiopática. Bilateral. ABSTRACT GRANULOMATOUS ORCHITIS IDIOPATHIC BILATERALA rare case of asymtomatic synchronous bilateral granulomatous orchitis idiopathic is decribed. In the scrotal ultrasonography are multiple hypoecoic areas, differential diagnosis between testicular tumor and granulomatous orchitis is very difficult in any examination by histological findings.

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Section: Discussionunclassified

Section: Destrucción De Las Células Germinales En Los Túbulos Seminífunclassified

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Orquitis granulomatosa idiopática bilateral

Rey

Manzanilla²,

Tello

2008

Actas Urol Esp

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“…Granulomatous orchitis generally appears in men over 40 years, although younger subjects are at times affected [5,7]. The etiology is still uncertain.…”

Section: Discussionmentioning

confidence: 99%

“…The pathogenesis of the interstitial sperm leak is also uncertain; the relationship with traumas or surgical procedures like hemioplasty or suprapubic pros tatectomy has been stressed [6,11,18]. Traumas would cause increased tubular pressure and spermatic extrava sation [11], but this is not uniformly believed [12], Sperm cells are seldom found within granulomatous tissue, but they could be destroyed by an inflammatory reaction and identification would be possible only in the early phase [10], It is also difficult to explain why more a typical granulomatous reaction occurs within the tubules, in stead of in the interstitium [13], Lipid fractions of leaked spermatozoa could induce a granulomatous reaction with involvement of spermatic cell lines and intratubular for mation of granulomas [1,2,7], Circulating antibodies are not thought to be present because they would produce bilateral involvement, which is seldom found.…”

Section: Discussionmentioning

confidence: 99%