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患者,男,50岁。以右侧阴囊内肿物收治。送验物分别为6×4×4cm和1×1×1.5cm。前者为肿大之睾丸,有边界无包膜,切面分叶状,灰白色,质稍韧,无明显坏死及出血。后者为腹股沟淋巴结,质脆,鱼肉状。镜下二者均为典型的精原细胞瘤组织象。病理诊断:右侧睾丸精原细胞瘤伴腹股沟淋巴结转移。该患者为隐睾,曾于20年前(1969年)作睾丸(右侧)复位固定术,隐睾位于右侧腹股沟管内。术中术后良好,已改变隐睾周围环境20余年仍发生恶变
Patient, male, 50 years old. To the right scrotum tumor treatment. The test materials were 6 × 4 × 4cm and 1 × 1 × 1.5cm. The former is swollen testicles, there is no border capsule, section lobulated, gray, slightly tough quality, no significant necrosis and bleeding. The latter is the inguinal lymph nodes, crisp, fishlike. Microscope both are typical of seminoma tissue. Pathological diagnosis: right testicular seminoma with inguinal lymph node metastasis. The patient was cryptorchidism, who had a testis (right side) reduction and fixation 20 years ago (1969). Cryptorchidism was located in the right inguinal canal. Good postoperative surgery, has changed the environment around the cryptococcal more than 20 years still malignant transformation occurs