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阴茎结核较少见,可为原发性,亦可为继发性,现将所见1例报告如下.男性,55岁.因阴茎包皮下硬结及冠状沟溃疡3年入院.检查:阴茎冠状沟有数个表浅型溃疡,并附有白色痂膜,但无明显增生性隆起.触诊冠状沟及阴茎背部皮下有硬结,无压痛,双侧腹股沟淋巴结不大,阴囊及睾丸均正常。镜检:表皮内有溃疡灶,真皮内有巨噬细胞、及上皮样细胞构成的结核样肉芽组织,并见有大量干酪样坏死灶.病理检查:灰白色组织2小块,表面有点状豆腐渣样坏死灶.讨论男性生殖系结核多见于附睾、精索及前列腺.尿道结核占泌尿生殖系结核的1.8%.阴茎结核更为少见,约占泌尿系结核的1%.原发性阴茎结核多为直接接触结核杆菌而致病,如女性子宫颈结核在性交时直接感染阴茎,或因结核杆菌污染衣服而感染.继发性阴茎结核则多为身体其它部位的原发性病灶蔓延而来.如继发于肾或附睾结核.
Penile tuberculosis is rare, can be primary, but also secondary, we now see a report of the following 1. Male, 55 years old due to penile subcutaneous induration and coronary canal ulcer 3 years admitted to the hospital. The ditch has several superficial ulcers with a white callus membrane, but no obvious hyperplastic bulge, palpable coronary ditch and subcutaneous scrotal penis back, no tenderness, bilateral inguinal lymph nodes, scrotum and testis are normal. Microscopic examination: ulcer lesions in the epidermis, macrophages in the dermis, and tubercular granulation tissue composed of epithelioid cells, and see a large number of caseous necrosis lesions.Pathological examination: 2 small pieces of white tissue, the surface a little bit of tofu Like necrotic lesions. Discussion male genital tuberculosis more common in the epididymis, spermatic cord and prostate. Urethral tuberculosis accounted for 1.8% of genitourinary tuberculosis. Penile tuberculosis is more common, accounting for about 1% of urinary tuberculosis. For direct contact with Mycobacterium tuberculosis and pathogenic, such as female cervical tuberculosis during sexual intercourse directly infected penis, or infected with Mycobacterium tuberculosis contamination of clothes.Secondary penile tuberculosis are mostly other parts of the body from the spread of primary lesions. Such as secondary to the kidney or epididymal tuberculosis.