患者男性,30岁。因左侧阴囊轻度胀痛1年入院。体检;一般情况好。左侧附睾尾部可触及10×8×8mm实性肿块,表面光滑,质中度硬,无压痛,输精管无增粗及结节,肛门指诊前列腺及精囊未见异常。泌尿系统其它物理检查无异常发现。浅表淋巴结无异常肿大。有关实验室检查亦无特殊。术前诊断为左附睾结核。在硬膜外麻醉下行左侧附睾探查术。术中见附睾尾部一肿物,表面呈灰白色,包膜完整,肿物与睾丸界线明显,无明显浸润,行左侧附睾切除术。病理报告:左附睾腺样瘤。 The patient is male, 30 years old. Left scrotal mild pain for 1 year. Physical examination; generally good. On the left side of the epididymis, 10×8×8 mm solid masses can be touched, and the surface is smooth, with moderate to moderate stiffness, no tenderness, no thickening and nodules in the vas deferens, and no abnormalities in the prostate and seminal vesicles of the anal gland. Other physical examinations of the urinary system were found without exception. No abnormal enlargement of superficial lymph nodes. There is nothing special about laboratory tests. The preoperative diagnosis was left epididymal tuberculosis. Epidural anesthesia was performed with left epididymal exploration. A tumor of the tail of the epididymis was seen during the operation. The surface was pale and the capsule was intact. The boundary between the tumor and the testis was obvious. There was no obvious infiltration. The left epididymectomy was performed. Pathology report: left epididymal adenoma.