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王定先(淮南第三矿工医院外科)报道:患者男性,58岁,因左阴囊肿块5月余,近日溃烂以左睾丸恶性肿瘤于1987年7月1日收入院。检查:左侧阴囊肿大约20×16×8cm大小,褐色,表面欠光滑,质硬而沉重,肿块内上方已破溃,恶臭,阴茎内陷,左侧精索增粗明显,右侧睾丸无明显异常。血红蛋白70g/L,白细胞10.8×10~9/L,中性81％,AKP15u/ml。诊断左睾丸恶性肿瘤。在硬膜外麻醉下行双侧睾丸切除,左后腹膜淋巴脂肪清扫术。术中见肿块内大量坏死组织,左精索增粗明显,清扫后腹膜脂肪组织,未见肿大之淋巴结。右侧睾丸约4×4×2cm大
Wang Dingxian (Huainan third miners Hospital Surgery) reported: male patient, 58 years old, left scrotal mass more than 5 months, the recent ulcer to left testicular cancer in July 1, 1987 income hospital. Check: The left scrotum swollen about 20 × 16 × 8cm size, brown, the surface is not smooth, hard and heavy, the mass has been ruptured inside the upper, stench, penile inset, the left spermatic cord thickening significantly, the right testicle Obvious abnormalities. Hemoglobin 70g / L, white blood cells 10.8 × 10 ~ 9 / L, neutral 81%, AKP15u / ml. Diagnosis of left testicular cancer. Epidural anesthesia bilateral bilateral orchiectomy, left posterior peritoneal lymphadenectomy. Intraoperative see a large number of necrotic tissue mass, left spermatic cord thickening significantly, after peritoneal clearance of adipose tissue, no enlarged lymph nodes. Right testes about 4 × 4 × 2cm large