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睾丸内胚窦瘤是一种恶性程度较高的生殖细胞瘤,多发生在青少年,而婴幼儿发病实属罕见,临床易误诊、误治。现将我院收治一例报告如下, 患儿,张杨,男,1.5岁。因右侧阴囊渐进性肿大半年余,以“右侧睾丸鞘膜积液”诊断,于1984年10月9日住院。查体所见:全身状态良好,仅见右侧阴囊增大,右侧睾丸如鹅卵大,质中等硬,表面光滑,减轻腹压时,肿物不能还纳腹腔,无触痛及波动,透光试验阴性,腹股沟及髂窝淋巴结不肿大。诊断:右侧睾丸鞘膜积
Testicular endodermal sinus tumor is a high degree of malignancy germ cell tumor, occurs in adolescents, while infants and young children is rare, clinical misdiagnosis, mistreatment. Now in our hospital admitted a case report is as follows, children, Zhang Yang, male, 1.5 years old. Scrotal enlargement due to the right side of the scrotum more than six months to “right testicular hydrocele” diagnosis, on October 9, 1984 hospitalization. Physical examination showed: the whole body in good condition, only to see the right scrotum increases, the right testis such as large goose eggs, medium hard, smooth surface, relieve abdominal pressure, the tumor can not return the abdomen, no tenderness and volatility, through Light test negative, groin and iliac lymph nodes is not enlarged. Diagnosis: Right testes sheath product