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1 病例报告 患儿男,6个月。因左睾丸肿大于1997年9月22日入院。足月顺产,产后基本健康。于1个月前患“感冒”发烧,无意中发现左侧睾丸肿大,质硬,阴囊皮肤无红肿,排小便无血,进食正常,无呕吐及腹痛,用药后“感冒”及发烧好转,但阴囊肿块不消。去专科医院就诊,B超诊断左睾丸囊实肿物,转我院。查体:体温36.4℃,左睾丸肿大直径约2cm,质硬,无触痛,表面光滑,临床诊断左睾丸肿物。B超检查:左睾丸2.4cm×1.2cm,内部回声不均匀,强回声伴低回声和无回声,后方无声影(图1)。右睾丸1.8cm×0.9cm,回声均匀位于阴囊内。诊断:左睾丸增大,囊实肿物,考虑畸
1 case reported children with male, 6 months. Due to left testis was greater than September 22, 1997 admission. Full-term natural delivery, postpartum basic health. A month ago, she had a fever of “cold” and inadvertently found an enlarged testicular mass on the left and a hard, scruffy skin with no swelling and blood in the stools. She had normal eating and no vomiting and abdominal pain. Her flu and fever improved after treatment, However, no need for scrotal lumps. Go to the specialist hospital for treatment, B-ultrasound diagnosis of left testicular cysts, transfer to our hospital. Physical examination: body temperature 36.4 ℃, left testicular swelling diameter of about 2cm, hard, no tenderness, smooth surface, clinical diagnosis of left testicular tumor. B-ultrasound: left testis 2.4cm × 1.2cm, internal echo uneven, strong echo with low echo and no echo, no sound behind the shadow (Figure 1). Right testes 1.8cm × 0.9cm, echo evenly in the scrotum. Diagnosis: enlargement of the left testicle, cystic solid tumors, consider abnormalities