患哲,男,40岁。因“右侧阴囊内肿物逐渐增大3年余”于2010年10月15日入院。阴囊下坠感明显。检查:阴囊皮肤正常,右侧阴囊内可触及明显包块约鹅卵大小,表面光滑,质韧有弹性,无压痛,与阴囊壁粘连,沉重感明显,透光试验阴性。睾丸位于包块内上方,大小质地正常,精索无增粗,左侧睾丸,附睾,精索正常。彩超发现右侧阴囊内睾丸外下方卵圆形实质性肿块,大小8.1 cm×4.6cm,于睾丸分界欠清,其内实质回声不均,内可见 Suffering Zhe, male, 40 years old. Because of “right scrotum within the tumor gradually increased more than 3 years” on October 15, 2010 admission. Scrotal drop sense of obvious. Check: The scrotum skin is normal, the right side of the scrotum can reach the apparent mass of about size goose eggs, smooth surface, tough quality and flexibility, no tenderness, adhesions with the scrotal wall, a clear sense of heavy, light transmission test negative. Testicles located above the mass, the size of the normal texture, spermatic cord without thickening, the left testis, epididymis, spermatic cord normal. Color Doppler ultrasound found on the right outer scrotum within the oval mass below the testis, the size of 8.1 cm × 4.6cm, less clear in the testicular demarcation, the inner echo of unequal within the visible