患者 ,67岁。因左侧附睾肿物渐进性增大 7个月 ,腹胀 1周入院。入院前曾在外院诊断为“附睾结核”,行抗结核治疗 2个月无效 ;余未发现异常。体检 :全身未发现表浅淋巴结肿大 ;右侧睾丸、附睾正常 ,左侧睾丸大小、质地基本正常 ,左侧附睾增大如鸡蛋 ,质硬 ,表面呈结节状 ,无压痛 Patient, 67 years old. Due to the left epididymal tumor progressive increase of 7 months, abdominal distension 1 week admission. Before admission to the hospital was diagnosed as “epididymal tuberculosis”, anti-tuberculosis treatment 2 months invalid; I found no abnormalities. Physical examination: the body did not find superficial lymph nodes; right testes, normal epididymis, left testes size, texture is normal, the left epididymis increased, such as eggs, hard, nodular surface, no tenderness