Aoki M, Ishikawa A, Ushiyama T, Suzuki K, Fujita K
Department of Urology, Hamamatsu University School of Medicine.
Hinyokika Kiyo. 1995 Oct;41(10):817-9.
A 60-year-old man visited our hospital because of a painless swelling of the left scrotal content which enlarged gradually for these five years. He had no history of trauma at the perineum. Tumor markers such as HCG, AFP and CEA were within normal limits. Left high orchiectomy was carried out after the admission under the diagnosis of suspicious testicular cancer. The resected mass, 16.5 x 12.5 x 9.5 cm in diameter and 900 g in weight, was encapsulated within the tunica vaginalis by a fibrous membrane and contained about 300 ml of reddish black liquid. The normally-appearing left testis was located separately from the mass. Microscopic examination revealed depositions of cholesterine crista in the wall, which are characteristic for a chronic hematocele.
一名60岁男性因左侧阴囊内容物无痛性肿胀前来我院就诊，该肿胀在五年内逐渐增大。他没有会阴部外伤史。肿瘤标志物如人绒毛膜促性腺激素（HCG）、甲胎蛋白（AFP）和癌胚抗原（CEA）均在正常范围内。入院后，在疑似睾丸癌的诊断下进行了左侧高位睾丸切除术。切除的肿块直径为16.5×12.5×9.5厘米，重900克，被纤维膜包裹在鞘膜内，含有约300毫升红黑色液体。外观正常的左侧睾丸与肿块分开。显微镜检查显示壁内有胆固醇结晶沉积，这是慢性血囊肿的特征。
