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患者男,38岁。因右附睾包块伴坠胀痛5个月于1997年10月28日入院。既往有肺结核病史,入院前诊断为“右附睾结核”,给予抗结核药物治疗,其疼痛无缓解,包块无缩小。体检:心、肺及腹部检查无异常。右侧精索和睾丸正常,右侧附睾尾部可触及2.5cm×2.0cm×1.5cm的硬性肿块,表面欠光滑,与右睾丸界限清楚。B超检查显示右侧附睾尾部囊实混合性肿块。实验检查均正常,胸部X线有陈旧性肺结核灶。于1997年11月5日在骶管麻醉下行手术探查,见右附睾尾部有2.5cm×2.0cm×1.5cm的肿块,表面呈结节状,与右睾丸略粘连,附睾头、体部正常,行右附睾肿物切除术。病理检查:组织标本呈粉红色,质中;镜下检查见肿瘤
Male patient, 38 years old. Due to the right epididymis mass with falling pain in 5 months on October 28, 1997 admission. Past history of tuberculosis, pre-hospital diagnosis of “right epididymis tuberculosis”, given anti-TB drug treatment, the pain did not ease, mass shrinkage. Physical examination: no abnormal heart, lung and abdominal examination. Right spermatic cord and testis normal, right epididymal tail can reach 2.5cm × 2.0cm × 1.5cm of the hard mass, the surface is less smooth, clear boundaries with the right testicle. B-ultrasound showed the right epididymis cystic solid mixed lumps. Laboratory tests were normal, chest X-ray has old tuberculosis foci. On November 5, 1997 under sacral anesthesia surgical exploration, see the tail of the right epididymis 2.5cm × 2.0cm × 1.5cm mass, the surface was nodular, and the right testicle slightly adhesions, epididymis, the body is normal, Right epididymal tumor resection. Pathological examination: tissue specimens were pink, quality; microscopic examination of the tumor