Table 1. The timeline of patient's diagnosis and treatment.
Timeline | Size (cm)/local symptoms and signs | Diagnosis | Treatment/curative effect |
---|---|---|---|
−30 days | 6×6×7, partial inflamed | Testicular epididymitis? | Ceftriaxone iv gtt, qd |
−10 days | 8×8×9, partial inflamed with ulceration and purulence | Testicular epididymitis? Or testicular tuberculosis? | Anti-infective for 20 days/ineffective |
−5 days | 6×6×7, interval’s discharge pus | Suspected malignancy (MRI) | Ready for surgery |
Operation | 6×6×7, interval’s discharge pus | Testicular neurofibromas (rapid pathological diagnosis) | Radical resection of right testis and right inguinal lymph node dissection |
6 days | Postoperative changes, healing well | Testicular neurofibromas (histopathology) | Discharged |
60 days | – | Satisfactory prognosis |
“–” means the time of before operation