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患者,男,47岁,因“右侧阴囊肿大10年余”于2011年2月28日入院。起初患者自感阴囊缓慢肿大,近3年肿大较前迅速,无尿频、尿急、尿痛、排尿困难及肉眼血尿,无恶心、呕吐、腹痛及腹胀等不适。患者既往体健,无家族遗传病史。入院查体:右侧阴囊明显肿大,可触及一大小约16cm×10cm×10cm的肿物,质地中等,边界尚清,移动度可,无触压痛,透光试验阴性,未触及睾丸、附睾及精索组织,阴茎及肛周未见异常。彩色B超:阴囊内未探及正常睾丸回声,可探及一混合性回声区,范围占据整个阴囊,与囊壁分界尚清,形态欠规则,内部回声不均匀,呈高低不等回声。CDFI:其内可
The patient, male, 47 years old, was admitted to hospital on February 28, 2011 because of “more than 10 years of swelling of the right scrotum.” Initially, patients with self-induced scrotal swelling slowly, nearly 3 years swollen faster than before, no urinary frequency, urgency, dysuria, dysuria and gross hematuria, nausea, vomiting, abdominal pain and abdominal distension and other discomfort. Past patient health, no family history of genetic disease. Admission examination: the right side of the scrotum was significantly enlarged, can reach a size of about 16cm × 10cm × 10cm of the tumor, the texture is medium, the border is clear, mobility can be, no tenderness pain, light transmission test negative, not touched testis, epididymis And spermatic cord tissue, penis and perianal no abnormalities. Color B: The scrotum was not detected and normal testicular echo, can be found and a mixed echo area, the scope of the entire scrotum, and the wall of the wall clear, under-rules, internal echo uneven, ranging from high and low echo. CDFI: The inner can