例1 男,50岁,1975年发现右侧睾丸肿块及右侧腰痛就诊,检查发现右侧附睾有豌豆大的肿块,无触痛,怀疑结核,门诊观察而未引起重视。1977年右附睾肿块逐渐肿大并伴有疼痛,腰痛加重,于1978年3月30日入院诊治。查体;右下腹深压可扪到10×8cm 肿块,质硬,表面光滑,周界清楚,活动受限,右睾大小正常,附睾有3×4cm 肿块,质硬,表面有结节,于1978年 Example 1 Male, 50 years old, had a right lumbosacral mass and right back pain in 1975. He found a large mass of peas in the right epididymis, no tenderness, suspected tuberculosis, and no attention was paid to outpatient observation. In 1977, the right epididymis mass was enlarged and accompanied by pain, and the back pain worsened. He was admitted to the hospital on March 30, 1978. Physical examination; deep right lower quadrant can be swollen to 10 x 8cm mass, hard, smooth surface, clear perimeter, limited activity, right testis size normal, epididymis with 3 × 4cm mass, hard, nodules on the surface, 1978