附睾乳头状囊性腺瘤属良性肿瘤,极为少见。现将我院误诊1例报告如下。患者男性,20岁,工人。3年前无意中发现阴囊内有一硬块,约绿豆大小,无任何感觉。当地医院诊为“附睾结核”,经抗痨治疗2年9个月,同时服中药治疗1年余,肿块仍然缓慢增大。于1985年3月来我院就诊。查体:右侧附睾头部可扪及约蚕豆大小之肿块,呈园形,质硬,术前拟诊为“附睾结核”。于3月16日手术,术中见右侧睾丸鞘膜壁层与脏层轻度粘连。附睾头部与一园形肿块相连,肿块质硬,呈深兰色,包膜与精索粘连,经游离切除,标本送病理检查。大体观察:暗红色园形组织一块,表面光滑,大小约2×2×1.9cm,切面为褐色疏松组织,边缘与被膜相连处有0.5cm大 The epididymal papillary cystic adenoma is a benign tumor that is extremely rare. One case of misdiagnosis in our hospital is reported below. Patient male, 20 years old, worker. Three years ago, I found that there was a lumpy scrotum, about the size of mung bean, without any feeling. The local hospital diagnosed as “epididymosis tuberculosis”. After 2 years and 9 months of anti-tuberculosis treatment, it took Chinese medicine for more than one year and the mass still slowly increased. In March 1985 to our hospital. Physical examination: The right epididymis head can be ridiculed about the size of the faba bean size, was park-shaped, hard, preoperative diagnosis of “epidemic tuberculosis.” On March 16th surgery, the right side of the testicles showed a mild adhesion between the parietal lining and the visceral layer. The epididymis head was connected to a round-shaped mass, and the mass was hard and dark blue. The capsule and spermatic cord were adhered. After free resection, the specimens were sent for pathological examination. General observation: dark red garden-shaped tissue, smooth surface, size of about 2 × 2 × 1.9cm, cut brown loose tissue, the edge of the junction with the capsule is 0.5cm large