- 期刊
Sarcoidosis with Bilateral Epididymal Involvement Leading to Oligo-Asthenospermia
副睪類肉瘤：病例報告及文獻回顧
摘要
類肉瘤是一種身體多系統，慢性肉芽腫的病變，很少侵犯到泌尿生殖系統，尤其是副睪。我們報告一個胸腔類肉瘤合併副睪侵犯的罕見病例，精液分析呈現精子過少合併活動力不良。因副睪侵犯及住院期間胸部x光顯示病灶有增加，病患開始接受口服類固醇治療，十天後，胸腔病灶及副睪腫大已有明顯改善。
並列摘要
Sarcoidosis is a multisystemic, chronic granulomatous disorder. The incidence of urogenital system involvement is 0.2% in clinically diagnosed cases and 5% in autopsy cases. We report a rare case of pulmonary sarcoidosis with bilateral epididymal involvement leading to oligo-asthenospermia. A 20-yearold man presented with bilateral epididymal swelling for two weeks. Chest radiography and computed tomography (CT) showed multiple ill-defined nodules in the bilateral lung fields with mediastinal and hilar lymphadenopathies. Pathology confirmed the diagnosis of sarcoidosis. Presnisolone 40 mg daily was administered orally. After ten days of therapy, chest radiography revealed resolution of the nodular lesions and the bilateral epididymal enlargement subsided.
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