论文部分内容阅读
唐某,男,26岁,未婚,发现右阴囊内肿块7个月,始为黄豆大小,无何不适。19岁始有遗精,阴茎勃起坚,性冲动可自控,否认性交史。近三个月肿物渐大,感右侧阴囊胀不适。 体检:一般情况好,全身浅表淋巴结不大,腰部未触及包块,双肾未触及,肾区无叩击痛,外生殖器发育正常,阴囊静脉无怒张,左睾丸、附睾、精索正常,右睾丸增大:6×4×3cm~3,下极可触及圆形肿物,有坠重感,质硬,表面光滑,边界不清,无触痛,附睾无肿大,精索无增粗。WBC8.3×10~9/L,N0.64,L0.35,E0.01。尿常规未见异常。血沉2mm/h。尿素氮,肝功能及转氨酶均正常。碱性磷酸酶5.7金氏单位。酸性磷酸酶2.4金氏单位。妊娠试验(一)。精
Tangmou, male, 26 years old, unmarried, found that the right scrotum tumor for 7 months, the size of the soybean, without any discomfort. 19-year-old had nocturnal emission, penile erection, sexual impulses can be controlled, denied sexual history. In the past three months, the tumor became larger and the right scrotum swelled. Physical examination: the general situation is good, the body is not superficial lymph nodes, lumbar without touching the mass, the kidneys did not touch, kidney percussion pain, normal external genital development, no scrotal venous tension, left testis, epididymis, spermatic cord normal , The right testicle increased: 6 × 4 × 3cm ~ 3, the next can reach the circular tumor, a sense of heavy weight, hard, smooth surface, the boundary is clear, no tenderness, epididymis without swelling, sperm count Thicker. WBC8.3 × 10 ~ 9 / L, N0.64, L0.35, E0.01. Urine routine no abnormalities. ESR 2mm / h. Urea nitrogen, liver function and transaminase were normal. Alkaline phosphatase 5.7 units. Acid Phosphatase 2.4 units of gold. Pregnancy test (a). fine