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45歳,男性。病期1のセミノーマの診断にて紹介。病理組織の検索にて精巣上体部に結節性多発動脈炎の所見を認めた。セミノーマに対しては傍大動脈域および患側腸骨域へ の予防照射を施行した。他の臓器症状の欠如,臨床検査成績にて異常所見を認めないこ とより結節性多発動脈炎については経過観察とした。
A 45-year-old male was referred to our hospital with a testicular cancer. His cancer was typical seminoma, pT1N0M0, Stage I. Histopathological finding revealed necrotizing vasculitis of ipsilateral epididymis, showing polyarteritis nodosa. Signs and symptoms involved in systemic polyarteritis were not found. Labolatory findings were also normal. Therefore an isolated polyarteritis nodosa of the epididymis was considered. Radiotherapy was performed for testicular cancer with watch and see policy for polyarteritis nodosa.
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