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【病例】男,20岁,自幼双侧阴囊空虚,摸不到睾丸。2年前发现左腹股沟部有一鸽卵大肿物、不痛.逐渐增大。15岁时曾患结核性胸膜炎,家族中无类似病史。发育良好,理学检查心、肝、肺、脾、肾、脊柱及四肢未发现异常。肛诊前列腺、精囊表面光滑,无硬结,不肿大。胸部摄片、泌尿系IVP、血沉、尿化验检查均正常。左腹股沟上方可见5cm×4cm隆起肿物,触诊硬,表面欠光滑,无活动性,无压痛:右腹股沟部可扪及2.0cm×2.0cm活动性差、表面较光滑、质稍硬忡物。B超左侧为实质性肿物,右侧为睾丸。
[Case] Male, 20 years old, childhood scrotum emptiness, can not touch the testicles. 2 years ago found a large pigeon egg left inguinal area, no pain. Gradually increased. At the age of 15 had tuberculous pleurisy, no similar family history. Well-developed, physical examination of heart, liver, lung, spleen, kidney, spine and limbs found no abnormalities. Anorectal prostate, seminal vesicles smooth surface, no induration, no enlargement. Chest radiography, urinary IVP, ESR, urine tests were normal. Left groin above the visible 5cm × 4cm bulge, palpation of hard, the surface is not smooth, no activity, no tenderness: palpable right groin and 2.0cm × 2.0cm poor mobility, the surface is relatively smooth, slightly harder substance. B ultra-left for the substantive tumor, the right side of the testis.