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患者男性,48岁,已婚。1987年5月8日入院。半年前发现左侧阴囊内有一黄豆大肿物,挤压时有酸胀感,当时未予注意,渐增大,近月来患处有酸痛感。患者平素健康,无结核病史,阴囊无外伤史。否认肿瘤家族史。体检:一般情况好,体表淋巴结未触及心、肺无异常。右侧睾丸及附睾无异常。左侧阴囊外观稍大,附睾头部可触及2×1.5cm大小肿物,稍有触痛,质中,边界清,可推动,有结节感。透光试验阴性。左侧精索略增粗。5月14日在局麻下行附睾肿物切除术。术中见附睾头部有2×1.5cm大小囊性肿物。术中肿物破裂,呈多房性,内含淡黄色液体,肿物壁较薄。切除肿物及部分附睾组织。病理检查:部分附睾组织及囊性肿物,肿物1.5×1.5×1cm大小,部分已破裂。肿物与附
Male patient, 48 years old, married. May 8, 1987 admitted to hospital. Six months ago found that there is a large scrotal soy mass in the left scrotum, squeezed when there is a sense of soreness, then did not pay attention to the gradual increase in recent months, the affected area has a sore feeling. Patients usually healthy, no history of tuberculosis, scrotum no history of trauma. Denied tumor family history. Physical examination: the general situation is good, surface lymph nodes did not touch the heart, no abnormal lung. Right testes and epididymis without exception. Left scrotum appearance slightly larger, epididymis head can reach the size of 2 × 1.5cm tumor, a little tenderness, quality, the border clearance, can promote, nodular. Light transmission test negative. The left slender slightly thicker. May 14 in local anesthesia epididymal tumor resection. See intraoperative epididymal head size 2 × 1.5cm cystic mass. Intraoperative tumor rupture, multi-chamber, containing a light yellow liquid, thin wall tumor. Removal of tumor and some epididymal tissue. Pathological examination: part of the epididymis and cystic tumor mass 1.5 × 1.5 × 1cm size, part of the rupture. Mass and attached