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患者男,76岁,右睾丸坠胀不适3个月,经抗炎治疗无效入院,查体:全身状况好,表浅淋巴结无肿大,右阴囊明显下垂,无红、肿,右阴囊内可扪及肿大的睾丸,cm;7×6×5大小,表面不光滑,质地硬,触痛,B超检查诊断为右睾丸肿瘤,临床诊断:右睾丸恶性肿瘤。在硬膜外麻醉下施探查术,术中见:睾丸肿大,与睾丸鞘膜粘连严重,钳取数块组织送冰冻切片,病理回报:恶性淋巴瘤。施行右睾丸根治切除术,病理检查:瘤组织由弥漫排列的淋巴样细胞组成,核
Male patient, 76 years old, right cheek swelling and discomfort for 3 months, invalid hospitalized by anti-inflammatory treatment, physical examination: good general condition, no superficial lymph node enlargement, drooping right scrotum, no redness, swelling, right scrotum Swollen and swollen testicles, cm; 7 × 6 × 5 size, surface is not smooth, hard texture, tenderness, B-ultrasound diagnosis of right testicular cancer, clinical diagnosis: right testicular cancer. Under the epidural anesthesia exploration exploration, intraoperative see: testicular enlargement, and the testicular sheath adhesion serious, clamps to take a few pieces of tissue to send frozen sections, pathology return: malignant lymphoma. Perform right radical resection of the testicles, pathological examination: the tumor tissue consists of diffusely arranged lymphoid cells, nuclear