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患儿,男,4岁,发现双侧睾丸对称性肿大半年多,检查:全身浅表淋巴结及肝脾未触及,全腹无肿块,阴茎发育如正常儿童,双侧睾丸肿大,等大,约4×2.5×2cm,质较硬;血象正常。活检证实恶性淋巴瘤,行双侧睾丸切除术,术后一年死亡。病理检查:左睾丸4.2×3×2.5cm,右睾丸4×3×3.2cm,切面鱼肉状,质嫩,白膜无粘连,附睾,精索未受累。镜下,睾丸组织绝大部分被肿瘤组织破坏,
Children, male, 4 years old, found bilateral testicular symmetry swollen more than six months, check: systemic superficial lymph nodes and liver and spleen not touched, the whole abdomen without lumps, penile development such as normal children, bilateral testicular enlargement, , About 4 × 2.5 × 2cm, the quality of hard; normal blood. Biopsy confirmed malignant lymphoma, bilateral orchidectomy, one year after the death. Pathological examination: left testis 4.2 × 3 × 2.5cm, right testis 4 × 3 × 3.2cm, section fish-like, tender, no adhesion of the albuginea, epididymis, spermatic cord are not involved. Microscope, the vast majority of testicular tissue damaged by tumor tissue,