患者,38岁.右侧阴囊内肿块5个月,伴局部疼痛1个月、抗生素治疗无效,于1992年6月16日入院.既往无结核病史,3年前行双侧输精管结扎术(未切断).体检:瘦长体型,皮肤黝黑.右侧附睾头部肿块直径约1.5cm,质地较硬,光滑,压痛(+),双侧睾丸大小正常.肝肾功能正常.局部麻醉下行右侧附睾切除术,术中见附睾头部肿块约1.5cm大小,外膜白色,与睾丸轻度粘连,切面呈暗红色,透过外膜可见附睾体尾部内 The patient, 38 years old, had a mass in the right scrotum for 5 months with local pain for 1 month, no antibiotic treatment, and was admitted to hospital on June 16, 1992. There was no prior history of tuberculosis and bilateral vasectomy was performed 3 years ago. Cut off). Physical examination: svelte body type, dark skin. The diameter of the right epididymis head mass is about 1.5cm, texture is hard, smooth, tenderness (+), bilateral testicular size is normal. Liver and kidney function is normal. Local anesthesia down the right epididymis For resection, the epididymal head mass was about 1.5cm in size, the adventitia was white, and the testicles were lightly adherent. The cut surface was dark red and visible through the adventitia.