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患者,男,60岁。入院11年前无意发现双侧阴囊内肿物,无痛疼及发热。曾诊断为双侧附睾结核,服用抗痨药物治疗无效。近年来左侧肿物渐增大,劳累后伴有酸胀下坠感。体检:左侧附睾尾部有一约4cm×4cm×3cm,右侧附睾尾部有一1.0cm×0.6cm×0.6cm肿物,两肿物质地均较硬,表面光滑,界限清楚,与睾丸及阴囊皮肤无粘连,压痛不明显,透光试验阴性,术前诊断为双侧附睾结核。于1989年3月行左附睾及肿物切除术,病理诊
Patient, male, 60 years old. 11 years ago, he had no intention to find bilateral scrotal masses, no pain, and no fever. Have been diagnosed with bilateral epididymal tuberculosis, taking anti-tuberculosis drug treatment is invalid. In recent years, the left side of the tumor has gradually increased, accompanied by a sense of soreness after fatigue. Physical examination: The left epididymis has a tail of about 4cm × 4cm × 3cm, and the right side of the epididymis has a 1.0cm × 0.6cm × 0.6cm tumor. The two masses are hard, the surface is smooth, the boundary is clear, and the testicle and scrotal skin are not Adhesion, tenderness is not obvious, negative light test, preoperative diagnosis of bilateral epididymal tuberculosis. Left epididymis and tumor resection in March 1989, pathological diagnosis