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原发性睾丸网織细胞肉瘤极为少見。国外文献偶有报导,国内报告尚屬少見,我們发現一例报告于下: 患者刘××,39岁,已婚,住院号31,737,于1957年11月25日第一次入院。主訴为双侧睾丸相继肿大約四月之久。自称四月前发现左睾丸无痛性肿大,如鷄蛋大小,不能还納,伴有坠感,且继续增大。近二月内右睾亦肿大,性質和左側相似。食慾及大小便正常,家族史无特殊。既往症:无隐睾史,无肺結核及性病史。查体:体温,脉搏,呼吸,血压均正常。发育中等,营养尚佳。全身无肿大淋巴結。头頸部无异常所見。胸部对称,心肺正常。腹軟,肝脾末捫及。泌尿生殖系統除双侧睾丸外均无异常所見。左睾肿大約9×6厘米,右睾肿大約8×4厘米,均呈椭园形,表面光滑,中等硬度,輕度压痛,与皮肤无粘連,不能还納,透光試驗阴性。两側精索均稍粗,阴囊皮肤正常。化驗:紅血球426万,血紅蛋白14.5克,白血球5,100,中性62％,淋巴37％,大单核1％,梅毒血清反应阴性。大小便常規检查均末見异常。临床疑为双側睾丸精原細胞瘤,先后作两侧睾
Primary testicular mesh cell sarcoma is extremely rare. Occasionally reported in foreign literature, the domestic report is still rare, we found a case report below: The patient Liu × ×, 39 years old, married, hospital number 31,737, on November 25, 1957 the first admission. The main complaint of bilateral testicular swelling have about four months. Claiming that painless swelling of the left testicle was found before April, such as the size of the egg, which could not be recovered, accompanied by a fall, and continued to increase. Right testis also swollen nearly two months, the nature and the left is similar. Normal appetite and urine, family history no special. Past illness: no history of cryptorchidism, no history of pulmonary tuberculosis and sexually transmitted diseases. Physical examination: body temperature, pulse, respiration, blood pressure are normal. Medium development, nutrition is still good. No swelling of the whole body lymph nodes. Head and neck no abnormal seen. Chest symmetry, normal heart and lungs. Abdominal soft, liver and spleen at palpable. Genitourinary system in addition to bilateral testis were no abnormal findings. Left testes about 9 × 6 cm, right testes about 8 × 4 cm, were oval-shaped, smooth surface, moderate hardness, mild tenderness, no adhesion with the skin, can not return, the light transmission test was negative. Both sides of the spermatic cord are slightly thick, scrotum skin is normal. Assay: 4.26 million red blood cells, 14.5 grams of hemoglobin, 5,100 cells of leucocytes, 62% of neutrals, 37% of lymphomas, 1% of large mononuclear cells, and negative syphilis seronegative. Regular examination of urine were abnormal. Clinical suspicion of bilateral testicular seminoma, has been made on both sides of the testis