Actinomycosis of the Penile Shaft Coexisting with Fibrous Pseudotumor of the Testis
차은정, 박호성, 장규윤, 이동근, 이창섭, 박종관, 문우성, 정명자, 강명자,
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차은정 ( Cha Eun-Jung )
전북대학교 의학전문대학원 병리학교실
박호성 ( Park Ho-Sung )
전북대학교 의과대학 병리학교실 및 의과학연구소
장규윤 ( Jang Kyu-Yun )
전북대학교 의과대학 병리학교실 및 의과학연구소
이동근 ( Lee Dong-Geun )
전북대학교 의과대학 병리학교실 및 의과학연구소
이창섭 ( Lee Chang-Seop )
전북대학교 의과대학 내과학교실
박종관 ( Park Jong-Kwan )
전북대학교 의과대학 비뇨기과학교실
문우성 ( Moon Woo-Sung )
전북대학교 의학전문대학원 병리학교실
정명자 ( Chung Myoung-Ja )
전북대학교 의학전문대학원 병리학교실
강명자 ( Kang Myoung-Ja )
전북대학교 의학전문대학원 병리학교실
KMID : 0357920080420010050
Abstract
Here, we present an uncommon case of the penile shaft actinomycosis with coexisting fibrous pseudotumors of the testis. A 37-year-old, circumcised man presented with one penile and eight scrotal masses. The penile mass having a healed surface ulceration was located at the right side of the penile shaft. It was relatively circumscribed without a fibrous capsule. The cut surface showed a yellow-brown color with central focal necrosis. The scrotal tumors were circumscribed, whorled, white masses 0.3-2.0 cm in diameters, and were attached to the tunica vaginalis and tunica albuginea. Microscopically, the penile mass showed active inflammatory changes containing actinomyces displaying characteristic sulfur granules. Testicular masses were fibrous pseudotumors composed of bland spindle and stellate cells lying in dense collagenous stroma. Actinomycosis of the penis has been reported to occur at the corona of the uncircumcised penis associated with pilonidal sinus. The present case was not associated with pilonidal sinus and, unusually, displayed co-existence with fibrous pseudotumors of the testis.
키워드
Penis; Testis; Actinomycosis; Fibrous tissue neoplasms
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