患者,35岁。右侧睾丸胀痛、逐渐增大1年,抗生素治疗无效,于1987年3月8日以右睾丸肿瘤收治入院。体检:一般情况良好,右侧睾丸明显增大,表面光滑,质硬,有触痛,沉重感。透光试验阴性,腹股沟淋巴结不肿大。左侧睾丸、附睾正常,双侧精索、输精管无异常。在连续硬脊膜外麻醉下行根治性右睾丸切除术,切口Ⅰ期愈合。病理检查:椭圆形肿块8cm×6cm×6cm,表面光滑,血管怒张,切面实质,彩色,有灶性出血坏死,部 Patient, 35 years old. On the right side of the testicular pain, gradually increased for 1 year, antibiotic treatment ineffective, on March 8, 1987 admitted to the right testicular tumor. Physical examination: the general situation is good, the right testicles increased significantly, the surface is smooth, hard, tenderness, heavy feeling. Translucent test negative, inguinal lymph nodes is not enlarged. Left testis, normal epididymis, bilateral spermaticopsia, no abnormal vas deferens. Radical right orchiectomy was performed under continuous epidural anesthesia and the incision healed first. Pathological examination: oval mass 8cm × 6cm × 6cm, smooth surface, vascular distention, cut the essence, color, with focal hemorrhagic necrosis, Department