病例介绍患者37岁,已婚,工人。主诉右侧阴囊肿物三个月,于1991年3月5日住院。自感右侧阴囊内有无痛性硬结,逐渐长大,仅在活动时略有不适。病前无阴囊外伤,亦无向阴囊内注入药物史,肿物不消失。无排尿异常。指肛检查:前列腺正常。于右侧阴囊内可触及一具有弹性的硬性肿物,约8cm×4cm×3cm,位于睾丸上方,精索触不清。透光试验:阴性。阴茎、睾丸及对侧阴囊无异常。血、尿化验正常。在局麻下行手术治疗。术中发现肿物呈淡黄色,类似脂肪组织,界限不清,如软骨样硬度。与周围组织粘连较重,但与睾丸及精索粘连较轻,且容易分离。充分游离后切除全部肿瘤组织。病理报告:阴囊内硬化性脂肪肉芽肿。术后经抗菌消炎治疗,康复出院。术后随访半年 Case description Patient 37 years old, married, worker. Chief complaint of the right scrotum tumor for three months, March 5, 1991 hospitalization. Right self-scrotal pain within the right sclerosis, gradually grow up, only slightly discomfort in the activities. No scrotum trauma before disease, there is no history of drug injection into the scrotum, the tumor does not disappear. No abnormal urination. Refers to anal examination: normal prostate. In the right side of the scrotum can reach a flexible hard tumor, about 8cm × 4cm × 3cm, located above the testes, spermatic cord touch unclear. Light transmission test: negative. Penis, testis and contralateral scrotum no abnormalities. Blood, urine test normal. Surgical treatment of local anesthesia. Intraoperative tumor was pale yellow, similar to fatty tissue, unclear boundaries, such as cartilage-like hardness. Adhesion and surrounding tissue heavier, but with testicular and spermatic cord adhesion lighter, and easy to separate. After full excision of all tumor tissue. Pathology report: scrotal sclerosing fatty granuloma. After antibacterial anti-inflammatory treatment, rehabilitation discharged. Follow-up after six months