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患者男,67岁,因右侧阴囊肿胀疼痛2个月入院。既往身体健康,无肝炎及结核病史,无排尿不畅、血尿及滴尿史,无呕血及便血史。查体:营养中等,神清语利,皮肤无黄染,全身浅表淋巴结无肿大。双侧甲状腺未触及,气管居中。心、肺、腹及前列腺检查未见异常。右侧阴囊大小约10×8×cm,附睾肿大且硬,有压痛。精索粗硬,不光滑。X线胸片可见纵膈内球形已钙化的胸骨后甲状腺,余未见异常.全消化道造影检查未见器质性病变.肾脏B超见双肾轮廓清,边缘整,实质回声均匀。术前诊断为右附
Male, 67 years old, was admitted to the hospital for 2 months because of pain in the right scrotum. Past physical health, no history of hepatitis and tuberculosis, no dysuria, hematuria and drip history, no history of hematemesis and blood in the stool. Physical examination: medium nutrition, God Qing language proficiency, skin yellow dye, systemic superficial lymph nodes without swelling. Bilateral thyroid not touched, tracheal center. Heart, lung, abdomen and prostate examination showed no abnormalities. Right scrotum size of about 10 × 8 × cm, epididymal large and hard, tenderness. Spermatozoa rough, not smooth. X-ray showed the mediastinal calcification within the posterior thyroid gland, I have seen no abnormalities .A total of gastrointestinal angiography showed no organic lesions. Kidney B-see renal clear outline, the edge of the whole, the real echo uniform. Preoperative diagnosis for the right attached