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患者,男,65岁。因右侧阴囊肿疼15天于89.12.13日入院。15天前无明显诱因阴囊坠疼,右侧睾丸似鸡卵,皮肤无红肿,皮温不高;于外院诊为“睾丸炎”口服SMZCO五天无效,坠疼加重,尤以行走时为著,并且肿物渐增大,患者病后无发热。查体示右侧阴囊肿大;其内可触及10×6×6cm大小肿物,质地如橡皮样,无结节感,边界清楚,有触痛,与阴囊皮肤粘连,透光试验阴性;精索增粗,未触及附睾及输精管;阴囊皮肤表面无怒张静脉。初诊睾丸肿瘤继发感染。于89,12,15在局麻下行睾丸肿瘤切除术,术中见阴囊壁与鞘膜增厚并
Patient, male, 65 years old. Due to the right side of the scrotum pain 15 days at 89.12.13 admitted. 15 days ago no obvious incentive to scrotum fall pain, the right testicular like chicken eggs, no skin redness, skin temperature is not high; in the out-patient clinic as “orchitis” oral SMZCO invalid for five days, falling pain worse, especially when walking for , And the tumor gradually increased, no fever after the patient’s illness. Scrotal enlargement of the right side of the scrotal examination; its access to 10 × 6 × 6cm size of the tumor, texture, such as rubber-like, no nodular, clear boundary, tenderness, and scrotal skin adhesion, light transmission test negative; fine Cable thickening, did not touch the epididymis and vas deferens; scrotum skin surface without anger vein. Tertiary testicular tumor secondary infection. 89,12,15 under local anesthesia testicular tumor resection, intraoperative see the scrotal wall and sheath thickening