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患者,42岁.因左阴囊内渐进性包块增大伴左下腹坠胀感于1995年8月30日入院.体检:左阴囊内可扪及8.0cm×6.0cm×5.5cm大小包块,质地韧,与睾丸分界不清,包块透光试验阴性.左精索增粗至左腹股沟处.B超在左阴囊外上方探及7.0cm×7.4cm×5.4cm大小囊实混合团块回声,其内可见个规则较强回声斑条,该团块与左腹股沟呈一不规则中低混合回声团块.考虑为左睾丸肿瘤并转移.于同年9月3日在硬膜外麻醉下行左睾丸肿瘤根治性手木.术中探查左睾丸正常,但左附睾明显增大,其直径约7.0cm大小,呈囊实样改变,并与增粗的精索相连.同时,左髂窝内亦触及10.0cm×6.5cm×5.5cm大小包块,其活动度差,并向腹腔内、腹膜后广泛浸润.腹膜大部及整个大网膜内可见许多大小不等、表面光滑的葡萄状肿物.行左睾丸、附睾、左精索、左髂窝肿块、部分腹膜及大部大网膜切除.住
The patient, 42 years old, was admitted to hospital on August 30, 1995 due to progressive mass enlargement in the left scrotum accompanied by a feeling of left lower abdomen. Physical examination: within the left scrotal area, a mass of 8.0cm x 6.0cm x 5.5cm can be obtained. Tough, with unclear testicular demarcation, mass-transmitting test was negative. The left spermatic cord was thickened to the left groin. Ultrasonography was performed on the outer scrotum of the left and 7.0 cm×7.4cm×5.4cm in size was mixed with cystic echo, There was a rule with a strong echogenic stripe. The mass was an irregular medium-low mixed echo mass in the left groin. It was considered as a left testicular tumor and metastasis. On the 3rd of September of the same year, the left testicle was under epidural anesthesia. Tumor radical hand wood. Intraoperative exploration of the left testis is normal, but the left epididymis is significantly enlarged, the diameter of about 7.0cm, was changed like a capsule, and is connected with the thickening of the spermatic cord. At the same time, the left armpit also touched The size of 10.0cm×6.5cm×5.5cm mass was poor, and it was extensively infiltrated into the abdomen and retroperitoneum. There were many grape masses with different sizes and smooth surface in the peritoneum and the entire omentum. Left testis, epididymis, left spermatic cord, left axillary mass, part of peritoneum and most of omentum resection.