患者,男性,23岁。一年半前无意中发现右睾丸有一花生米大之肿物,随睾丸而活动,无疼痛。近6个月来,肿物增大迅速,食欲减退,消瘦,疲乏无力,睾丸坠痛,并有腹部胀痛。于1984年9月18日入院。家族中无肿瘤病史。体格检查:贫血面容,皮肤干燥,弹性低,腹水征阳性,右睾丸部可触及一10×5×6cm大之肿物,表面光滑、质硬,沉重感不明显,无压痛及波动感,挤压不缩小。透光试验阴性,增粗如拇指之精索伸入外环口内,可触及结节,质硬。实验室检查,Hb13g,HKP6单位,尿妊娠试验阳性。腹水呈淡黄色,蛋白定 Patient, male, 23 years old. A year and a half ago inadvertently found a large testicular peanut mass with the activity of the testes, no pain. In the recent 6 months, the mass increased rapidly, loss of appetite, weight loss, fatigue, testicular pain, and abdominal pain. On September 18, 1984 admission. No history of cancer in the family. Physical examination: anemic face, dry skin, low elasticity, ascites sign positive, right testicular can touch a large 10 × 5 × 6cm of the tumor, the surface is smooth, hard, heavy feeling is not obvious, no tenderness and fluctuation, crowded Pressure does not shrink. Translucent test negative, thickening of the sphinx like thumb into the outer ring mouth, accessible nodules, hard. Laboratory tests, Hb13g, HKP6 units, urine pregnancy test was positive. Ascites was pale yellow, protein set