Burkitt lymphoma involving the epididymis and spermatic cord: sonographic and CT findings

Imaging of Burkitt′s lymphoma-abdominal manifestations

“…[10] Hepatic and splenic involvement includes hepatosplenomegaly (as in our case), solitary/multicentric, hypoechoic/attenuating lesions, periportal infiltrating mass, and distal biliary duct dilatation. [11] Scrotal involvement include enlarged testes with hypoechoic lesions, thickened echogenic epididymis on sonography, or diffusely enlarged spermatic cord with enhancement in postcontrast CT. [12] Jaw involvement [ Figure 1] shows a patchy infiltrative process beneath the alveolus with resorption of lamina-dura and destruction of tooth buds resulting in dislodged teeth, appear as floating teeth on the tumor mass. [13] The differential diagnosis considered was tuberculosis.…”

Spermatic Cord Lymphoma: A Case Report and Literature Review

“…Of these lymphomas, testicular lymphoma is the most frequent, accounting about 1% of all nonHodgkin's lymphomas [9]. On the other hand, spermatic cord lymphoma is very rare, and to the best of our knowledge, only thirty-three cases including our own case have been reported (Table 1) [1–8]. The patients ranged in age from 20 to 89 years (mean age, 60-year-old).…”

“…Therefore, we assumed the primary site in our case might be the spermatic cord. Histologically reviewing, intermediate-grade lymphomas (Working Formulation), centroblast or centroblastic-centrocytic lymphomas (Kiel classification), and DLBCL (WHO classification) were most frequently observed, except two cases which suffered from Burkitt's subtype [1, 4]. All cases that the immunophenotypical study was performed showed a B-cell phenotype.…”

“…To our knowledge, searching both English and Japanese literature, only thirty-three cases including our case have been reported [1–8]. It has a poor prognosis even in stage I disease when treated locally, therefore, multidisciplinary treatment for early stage is recommended.…”

Neoplastic diseases of the spermatic cord: an overview of pathological features, evaluation, and management

“…These non-Hodgkin lymphomas are primary tumors that can be confused with testicular tumors that have extended into the spermatic cord ( 33 ). The most common form is diffuse large B-cell lymphomas reported in patients over 60, with a few reported cases of Burkitt’s lymphoma presenting in a 4-year-old boy and a 20-year-old young man ( 32 - 37 ). A recent study utilized different imaging modalities to characterize a primary spermatic cord tumor and distinguish it from other tumors presenting similarly; they reported preservation of normal funicular vessels, lack of fat within the lesion, as well as homogenous enhancement and intensity on MRI ( 33 ).…”