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患者,男,25岁,因右侧睾丸肿物于半年前入院。体检右侧睾丸肿大,8cm×7cm×6cm大小,不规则、结节状、质稍硬。行右侧睾丸摘除术。大体见睾丸大部分为肿瘤组织取代,仅见少许睾丸组织,二者分界不清。病理诊断为右侧睾丸精原细胞瘤。4个月前,患者活动后胸闷不适。超声心动图示:右心室肿块4cm×4cm×2.5cm大小,与心室壁分界不清。行右室肿块摘除术。术中冰冻切片报告:转移性精原细胞瘤。因肿瘤广泛侵润心肌间质,未能完全摘除。终因全身衰竭于心脏术后2个月死亡。
The patient, male, 25 years old, was admitted to the hospital half a year before with a right testicular mass. Physical examination of the right testicular swelling, 8cm × 7cm × 6cm size, irregular, nodular, slightly harder. Right side testicular enucleation. In general, most of the testes were replaced by tumor tissues, and only a few testicular tissues were seen. The boundary between the two was unclear. Pathological diagnosis was right testicular seminocytoma. Four months ago, the patient developed chest discomfort after activity. Echocardiography: The size of the right ventricle mass is 4cm x 4cm x 2.5cm, and the ventricular wall is unclear. Right ventricular mass removal. Intraoperative frozen section report: metastatic seminoma. Due to extensive infiltration of myocardial interstitium by the tumor, it has not been completely removed. He died of heart failure 2 months after cardiac surgery.