男,38岁。患者于1981年3月初次发现右侧睾丸有一肿物,当时无何不适,未加注意。三个月后发现肿物继续增大,伴坠胀感,隐痛不适,经抗痨治疗病情稳定。近一月来右侧睾丸肿块迅速增大而入院。查体:双侧腹股沟淋巴结如豌豆大小,无压痛,右侧睾丸有约5×5×4cm大小肿物,质硬,触压时有胀痛感。入院后继续抗痨治疗无效。体温38℃。行右睾丸切除术。术后病理发现睾丸肿物呈大片坏死,其中查见绒癌组 Male, 38 years old. The patient first discovered in March 1981 that there was a tumor in the right testicle without any discomfort at that time. Three months later found that the tumor continued to increase, with bulging feeling, pain and discomfort, the disease was stabilized by anti-tuberculosis treatment. Nearly a month to the right testicular mass rapidly increased admission. Physical examination: bilateral inguinal lymph nodes such as pea size, no tenderness, the right testis is about 5 × 5 × 4cm size of the tumor, hard, when the contact pressure pain. Anti-tuberculosis treatment continued ineffective after admission. Body temperature 38 ℃. Right orchiectomy. Postoperative pathology showed large testicular necrosis, which check see choriocarcinoma group