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患者男,72岁。2年前出现右侧睾丸肿大,伴有低热,不伴胀痛,不影响活动,无明显排尿困难,无恶心呕吐,同时出现右侧腹股沟区肿物,串珠样,患者未就诊。外院超声检查发现右侧睾丸及腹股沟区实性占位,行穿刺活检,病理提示为转移性腺癌,遂来本院进一步诊疗。患者近期仍有低热,食欲良好,体重下降约3 kg。实验室检查:甲胎蛋白
Male patient, 72 years old. 2 years ago, the right side of the testicular swelling, accompanied by fever, without pain, does not affect activity, no obvious dysuria, no nausea and vomiting, while the right groin area tumor, beaded, the patient did not attend. Outside the hospital ultrasound examination of the testes and groin area of the right real occupancy, line biopsy, pathology prompted for metastatic adenocarcinoma, then to our hospital for further diagnosis and treatment. Patients still have low fever, good appetite, weight loss of about 3 kg. Laboratory tests: Alpha-fetoprotein