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患者,男性,65岁,哈萨克族。9年前因用力后右腹股沟区出现包块。起初不大且无疼,后渐增大并进入阴囊,未就诊。近来感轻微胀疼,有下坠感,拟诊阴囊肿物收住院。患者既往体健,有生育能力。查体:心肺脾肝肾未见异常,浅表淋巴结不肿大,右腹股沟有一质韧包块进入阴囊,压之胀疼,平卧挤压可还纳入腹,站立又突出,透光试验阴性。阴囊下部有一10cm×10cm大小的球状囊性肿物。压疼,表面光滑,界清楚,触不到睾丸,与疝囊无关。对侧无异常。血常规
Patient, male, 65 years old, Kazakh. 9 years ago due to force after the right groin area appeared mass. At first it was not big and no pain, then it gradually enlarged and entered the scrotum and did not visit the doctor. The recent feeling of slight swelling, there is a sense of falling, the diagnosis of scrotal masses admitted to hospital. The patient is physically fit and has fertility. Physical examination: no abnormalities of heart, lung, spleen, liver and kidney, superficial lymph nodes are not enlarged, and a mass of flexible lumps enters the scrotum in the right groin. The pressure of the expansion swells, and the squeezing can be also included in the abdomen, standing and protruding, and the light transmission test is negative. . The lower part of the scrotum has a 10cm x 10cm spherical cystic mass. The pressure is painful, the surface is smooth, the boundary is clear, the testis cannot be touched, and has nothing to do with the crop. There is no abnormality on the opposite side. Blood routine