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患者男,52岁。因左侧阴囊内肿物二年,于1980年12月20日入院,1980年12月无意中发现左侧阴囊内有拇指头大肿物.肿物渐增大至拳头大,行走不便.胀痛。检查:全身无异常,左侧阴囊内如成人拳头大肿块,质软,轻压痛,睾丸、副睾丸扪不清,透光试验(+)。临床诊断:左侧睾丸鞘膜积液。在骶麻下手术探查,术中见左侧阴囊内有6×8厘米囊性肿块,囊壁薄呈白色,下有精索动静脉及输精管跨过,睾丸和副睾丸位于囊肿下方。遂行囊肿切除,见囊内液为乳白色,约400毫升。囊液涂片检查:精子(++++)。病理报告:精液囊肿。
Male patient, 52 years old. Due to the left scrotum tumor for two years, was admitted on December 20, 1980, in December 1980 inadvertently found the left scrotum thumb big tumor mass gradually increased to fist, walking inconvenience. pain. Examination: No abnormality in the body, the left scrotum as an adult fist, soft, light tenderness, testicular, epididymis palpable, light test (+). Clinical diagnosis: left testicular hydrocele. Surgical exploration in the sacral anesthesia, surgery, see the left side of the scrotum 6 × 8 cm cystic mass, white thin wall, under the spermatic vein and vas deferens across the testes and epididymal testes located below the cysts. Cyst excision, see cyst fluid is milky white, about 400 ml. Cyst fluid smears: sperm (++++). Pathology report: semen cysts.