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患者:男,46岁。发现双侧精索包块二年余。查体:阴囊大小正常,无炎症表现,双侧睾丸正常,左侧精索外侧可触及直径约3cm的不规则椭圆形囊性包块,右侧精索外侧可触及直径约2.5cm的圆形囊性包块,均可活动,无压痛,与皮肤无粘连。诊断:双侧精索囊肿。1987年5月6日在局麻下行双侧精索囊肿切除术。术中见左侧包块来自精索,由3个圆形包块组成,直径最大者约2cm,其余两个直径在0.4～0.6cm;右侧包块也来自精索,单个,直径约2cm,边界清楚,有完整的包膜,与周围组织无粘连,呈囊性,囊内为淡黄色、半透明的粘液性液体。病理报告:双侧精索乳头状囊腺瘤。讨论: 该病为罕见的良性肿瘤,同济医科大学报告到
Patient: male, 46 years old. Bilateral sphincter mass found more than two years. Physical examination: scrotum normal size, no inflammatory manifestations, normal bilateral testis, left lateral spermatic cord can reach the outer diameter of about 3cm irregular oval cystic mass, the right lateral spermatic cord can reach the outer diameter of about 2.5cm round Cystic mass, can be activity, no tenderness, no adhesion with the skin. Diagnosis: bilateral spermatic cord cyst. May 6, 1987 under local anesthesia bilateral spermatic cord resection. Surgical see the left mass from the spermatic cord, composed of three round mass, the largest diameter of about 2cm, the remaining two diameter 0.4 ~ 0.6cm; right mass also from spermatic cord, a single, about 2cm in diameter , A clear boundary, a complete capsule, no adhesions with the surrounding tissue, cystic, intracapsular pale yellow, translucent myxoid liquid. Pathology report: bilateral spermatic papillary cystadenoma. Discussion: The disease is a rare benign tumor reported by Tongji Medical University