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患者,67岁。10年前右侧睾丸开始变硬,无红肿热痛改变,无外伤及结核病史。后见右睾丸逐日增大,且有坠胀感,以致影响劳动。于1992年3月入院。体检:一般情况差,心肺未见异常,双侧腹股沟淋巴结未触及肿大,右侧睾丸增大约12cm×10cm×5cm,呈椭圆形,质地坚硬,表面不光滑。透光试验阴性,血沉52mm/h,B超示右睾丸实质占位性变,骨盆平片未见异常。诊断为右睾丸肿痛。于1992年3月10日在硬膜外麻醉下行根治性睾丸切除术,术中
Patient, 67 years old. The testis began to harden on the right side 10 years ago with no history of swelling and pain and no history of trauma and tuberculosis. After seeing the right testicle increased day by day, and there is a sense of falling bulge, so affect labor. In March 1992 admitted. Physical examination: the general situation is poor, no abnormal heart and lung, bilateral inguinal lymph nodes did not touch the enlargement of the right testis by about 12cm × 10cm × 5cm, oval, hard texture, the surface is not smooth. Translucent test was negative, erythrocyte sedimentation rate 52mm / h, B ultrasound showed right testicular mass changes, pelvic plain no abnormalities. Diagnosis of right testicular swelling and pain. On March 10, 1992 under radical epidural anesthesia orchiectomy, intraoperative