患者,男,64岁。1988年5月突发阴囊胀痛,并可扪及雀蛋大小包块,当时按附睾炎治疗无效而入院.患者3年前曾在本院行胃癌扩大根治术,病理诊断:胃小弯溃疡型高分化腺癌、浆膜层浸润,淋巴结无转移。术后反复化疗,多次胃镜检查未见复发。入院体检:右腋窝可扪及-2cm×2cm质硬淋巴结。右侧精索远端可扪及3cm×3cm×4cm包块,质硬,表面不光滑,透照试验阴性,睾丸 Patient, male, 64 years old. May 1988 sudden scrotal pain, and can be riddled with small parcels of eggs, when the epididymitis treatment was invalid and admitted to hospital. Patients 3 years ago had expanded radical mastectomy in this hospital, pathological diagnosis: gastric minor ulcer Types of well-differentiated adenocarcinoma, serosal layer infiltration, lymph node metastasis. After repeated chemotherapy, there were no recurrences after repeated gastroscopy. Admission examination: The right iliac fossa and -2cm x 2cm hard lymph nodes. The right side of the spermatic cord and 3cm × 3cm × 4cm distal mass, hard, non-smooth surface, negative transillumination test, testis