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患者男,1岁。右侧睾丸肿大6个月,曾在外院行肿物穿刺(诊断不详),以后肿物迅速增大。体检:右侧阴囊肿大(约5×6×7cm),卵圆形,张力较大,无触痛,透光试验阳性。临床诊断;右侧睾丸鞘膜积液,右侧睾丸肿瘤。全麻下行右侧高位睾丸切除术。术中放出淡黄色透明液体约2ml,睾丸明显增大约3×3×4cm,质地较硬,表面血管丰富,有3个黄豆大小硬节,附睾及精索正常。病理诊断:睾丸恶性卵黄囊瘤。
Patient male, 1 year old. The right testicular enlargement of 6 months, had a tumor in the outer hospital puncture (diagnosis is unknown), after the rapid increase of the tumor. Physical examination: The right scrotum enlargement (about 5 × 6 × 7cm), oval, larger tension, no tenderness, positive light transmission test. Clinical diagnosis; right testicular hydrocele, right testicular tumor. Under general anesthesia high right orchiectomy. Surgery release light yellow transparent liquid about 2ml, testes increased significantly about 3 × 3 × 4cm, texture hard, rich in surface blood vessels, there are three soybean size hard segment, epididymis and spermatic cord normal. Pathological diagnosis: testicular malignant yolk sac tumor.