患者男,45岁,因左侧阴囊发现一肿物二年余而入院,于二年前无明显诱因,始有腰腿痛,且同时发现在左侧阴囊内有一硬结,偶有疼痛,从无尿频、尿急、血尿等病史。检查:全身淋巴结不大,心肺无异常,腹部无包块,左侧阴囊稍大,副睾尾部可扪及拇指大圆形肿物,质硬。睾丸正常。入院诊断:左副睾结核。 Male, 45 years old, because of the left scrotal found a tumor for more than two years and admitted to hospital two years ago, no obvious incentive, began to have low back pain, and also found in the left scrotum within a hard knot, occasionally pain, from Urinary frequency, urgency, hematuria and other medical history. Check: systemic lymph nodes, cardiopulmonary no abnormalities, no mass in the abdomen, the left scrotum slightly larger, palpable caudal epididymis and large circular tumor, hard. Testicular normal. Admission diagnosis: left paraneoplastic tuberculosis.