精索恶性肿瘤非常少见,我院于1986年10月收治一例,报告如下。 患者,65岁,于1981年元月初发现右腹股沟处有一蚕豆样肿物,无疼痛,可活动,渐增大。同年10月初增至鸡蛋样大小,有时可进入阴囊,在本院诊断:腹股沟斜疝(右)。1981年10月 16日手术,术中发现右侧精索有5×4×3 cm肿物,实质性,行肿瘤及右睾丸切除术。病理诊断:精索脂肪肉瘤。术后放射治疗。1986年9月底因右下腹部疼痛,行B超检查,发现右下腹部及右腹股沟区有8.8×5.2×7.2cm和3.4 Malignant tumors of the spermatic cord are very rare. Our hospital was admitted to a case in October 1986. The report is as follows. The patient, 65 years old, had found a broad bean-like mass in the right groin at the beginning of January 1981. He had no pain, could move, and gradually grew. At the beginning of October of the same year, it increased to the size of an egg, and sometimes it can enter the scrotum and be diagnosed in our hospital: inguinal hernia (right). On October 16th, 1981, the operation found that the right spermatic cord had a 5×4×3 cm tumor, which was substantial, and the tumor and right orchiectomy were performed. Pathological diagnosis: spermatic cord liposarcoma. Postoperative radiation therapy. At the end of September 1986 due to pain in the right lower abdomen, a B-ultrasound examination was performed and found that the right lower abdomen and right groin area was 8.8 x 5.2 x 7.2 cm and 3.4