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患者,男,57岁。因右睾丸隐痛伴逐渐增大的肿物于1982年12月24日入院,4个月前曾有阴部轻度挫伤史。体检:一般情况好,T36.5℃,BP18/12kPa。直肠指诊前列腺未见异常。右附睾头、体、尾弥漫性肿大,质中,表面光滑,无结节。与睾丸界线不明显,与阴囊皮肤无粘连,轻度挤压痛,透光试验阴性。精索略粗,无结节。实验室检查血、尿、粪常规及肝、肾功能均正常。胸透正常。入院诊断:慢性附睾丸炎,附睾肿瘤待排除。入院后在局部麻醉下行右睾丸附睾高位切除术。术中见睾丸为正常大小,附睾增大,质地
Patient, male, 57 years old. Because of the right testicle pain with increasing mass in the hospital on December 24, 1982, 4 months ago had mild genital contusion history. Physical examination: the general situation is good, T36.5 ℃, BP18 / 12kPa. Prostate digital rectal examination showed no abnormalities. Right epididymis head, body, tail diffuse swelling, quality, smooth surface, no nodules. And testicular boundaries is not obvious, no adhesion with the scrotal skin, mild squeezing pain, light transmission test negative. Slightly thick slender, no nodules. Laboratory tests of blood, urine, fecal routine and liver, kidney function are normal. Thoracotomy normal. Admission diagnosis: chronic orchitis, epididymal tumor to be excluded. After admission under local anesthesia in the right testicular epididymoidectomy. Testicular surgery to see normal size, epididymal increase, texture