精索原发性或转移恶性肿瘤较为罕见。本文报告一例精索腺癌。男性,47岁。发现左侧精索肿物二年。开始时肿物不大,不痛。而近一年来肿块逐渐增大,下坠痛。当地医院曾拟“精索炎”治疗过,但效果不佳。于1982年10月24日入院。过去体健。体检:左精索下端可触及5×3×2厘米大小之肿块,实质性,质硬,尚光滑,呈条索状,与皮肤无粘连。两睾丸大小正常。血常规:H.b 10.6克％,白血球 Spermatic cord primary or metastatic cancer is rare. This article reports a case of spermatic adenocarcinoma. Male, 47 years old. The left spermatic cord was found for two years. At the beginning of the tumor is not large, no pain. In the past year, the mass gradually increased, falling pain. The local hospital had proposed “spermatic corditis” treatment, but the effect is not good. On October 24, 1982 admission. Past physical health. Physical examination: the bottom of the left spermatic cord can reach the size of 5 × 3 × 2 cm mass, substantive, hard, still smooth, was a cord-like, with no adhesion to the skin. Two testicular size normal. Blood: H.b 10.6 grams, white blood cells