Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Primary testicular necrotizing vasculitis clinically presented as neoplasm of the testicle: a case report | Maricic et al. World Journal of Surgical Oncology 2011 9 63 http content 9 1 63 WORLD JOURNAL OF SURGICAL ONCOLOGY CASE REPORT Open Access Primary testicular necrotizing vasculitis clinically presented as neoplasm of the testicle a case report 12 1 2 1 1 Anton Maricic Sanja Stifter Maksim Valencic Gordana Dordevic Dean Markic Josip Spanjol Stanislav Sotosek1 and Zeljko Fuckar1 Abstract We present a case of necrotizing vasculitis with the testicle as the isolated affected organ. A 25-year-old man pretreated for epididymo-orchitis presented with a presumed testicular neoplasm. Radical orchiectomy was performed and diagnosis of necrotizing vasculitis was established. In the absence of any other sign of systemic disease the diagnosis of isolated necrotizing vasculitis of the testis was confirmed. Two years after the operation the patient showed no symptoms of systemic disease. Keywords Necrotizing vasculitis testicular neoplasm radical orchiectomy ultrasound Background Symptomatic vasculitis confined to the testis without clinical or laboratory evidence of systemic disease is not a common finding 1-10 . It is difficult to diagnose this condition clinically or using noninvasive methods. Therapy for this condition remains controversial. We describe a case with an unusual presentation simulating a testicular neoplasm. Case presentation A 25-year-old Caucasian man went to a general practitioner because of right testicular swelling and was treated with oral antibiotics for presumed epididymo-orchitis. Over the next 10 days swelling increased the testis became painful body temperature increased to 38 C and the patient was referred for urological assessment. The patient was admitted to the hospital for parenteral therapy because peroral antibiotic therapy ciprofloxacin was not effective. Upon physical examination the right testicle was enlarged and painful on palpation and the skin of the right hemiscrotal region was red and warm. Pain increased gradually and .
