梁××,男,31岁。阴部肿物伴疼痛半日,无发热。诊断为精索囊肿。检查:患者左精索肿物约1.3cm,质硬,轻压疼,临床疑精索肿瘤,申请针吸细胞学检查。细胞涂片所见:涂片见散在及成团微丝蚴,虫体形态如丝线,部分微丝蚴有脱膜出现,另见由虫体引起的炎症变化、坏死、中性白细胞、嗜酸性白细胞及组织细胞。针吸细胞学诊断法方便、迅速,病人痛苦小,因此受到临床医师的欢迎,近年来被普遍采用。我院对于肿块的鉴别,针吸细胞学检查已成为常规。本例精索肿块,临床怀疑肿瘤,通过针吸细胞检查,确诊为丝虫病。丝虫病病人阴囊及下肢橡皮肿,是典型的临床表现,可本例肿块直径仅1.3cm,而且未见其它症状。该肿块确诊后患者药物治疗即可痊愈。 Liang XX, male, 31 years old. Pussy with pain half a day, no fever. Diagnosis of spermatic cord cyst. Check: Patients with left spermatic cord about 1.3cm, hard, light pressure pain, clinical suspicion of the tumor, apply for needle aspiration cytology. Cell smear seen: smear see scattered and into groups of microfilaria, worm body morphology such as silk, some microfilaria have stripping occurs, see also by the parasites caused by inflammatory changes, necrosis, neutrophils, eosinophilic Leukocytes and tissue cells. Needle aspiration cytology method is convenient, rapid, patient pain is small, so by the clinician’s welcome, in recent years is widely used. Our hospital for the identification of lumps, needle aspiration cytology has become routine. In this case spermatic cord mass, clinical suspicion of tumor, needle aspiration cell examination, diagnosed as filariasis. Filariasis patients scrotum and lower extremity gums, is a typical clinical manifestations, but in this case only 1.3cm in diameter, and no other symptoms. After the mass is diagnosed, the patient’s medication can be cured.