患者,男,65岁。因左阴囊内肿物4年余,于1996年1月20日入院。入院前在院外给予抗炎及抗结核药物治疗无效。入院时查体:左睾丸上方可触及一大小约3.0×3.0×2.5cm肿物,质韧,活动度差。同侧腹股沟淋巴结未触及肿大。于1996年1月25日行手术探查:术中见左精索外侧有一大小约3.0×3.0×2.5cm肿物,与周围组织粘连甚重,有完整包膜。完整切除肿物及周围粘连组织。肿物切面呈鱼肉样,病理检查见:瘤细胞由梭形细胞构成, Patient, male, 65 years old. Because of the left scrotal mass within 4 years, he was admitted to hospital on January 20, 1996. Anti-inflammatory and anti-tuberculosis drugs were not given outside the hospital before admission. Examination on admission: A size of approximately 3.0 x 3.0 x 2.5 cm can be reached above the left testis, which is characterized by toughness and poor activity. Ipsilateral inguinal lymph nodes were not enlarged. The operation was performed on January 25, 1996. During the operation, the left spermatic cord had a size of approximately 3.0 × 3.0 × 2.5 cm in the lateral mass, which was severely associated with the surrounding tissue and had a complete capsule. Complete removal of the mass and surrounding adhesions. The tumor section was fish-like. Pathological examination showed that the tumor cells consisted of spindle cells.