Solitary testicular plasmacytoma

Abstract

A 76-year-old Caucasian man presented with a 6-week history of low mood, tearfulness, poor appetite, early

Primary Plasmacytoma of the Testis

“…Our case reported here confirms the procedure suggested by Gowing [ 15], After 18 months of follow-up, our patient is well without any evidence of systemic myelomatosis. In con tradiction to this, White and Chan [2] reported a case with intraskeletal plasmocytoma presenting 2 years after or chiectomy, but without any progression of disease after another 7 months. Therefore, the authors pointed out the necessity of subsequent observation for several years in such cases.…”

“…Six other singular plasmacyto mas of the testis were reported as case reports. Finally, White and Chan [2] reported a testicular tumor which showed the typical signs of plasma cell infiltration with a well-circumscribed, lobulated tumor.…”

“…11-14] of the testis and suffi cient follow-up [1,2,8,9,12,13], no further therapy was carried out except for radical orchiectomy. Our case reported here confirms the procedure suggested by Gowing [ 15], After 18 months of follow-up, our patient is well without any evidence of systemic myelomatosis.…”

Testicular Plasmacytoma as Initial Presentation of Multiple Myeloma

“…Generally the prognosis of EMP without evidence of multiple myeloma is good with 5-year survival rates as high as 70% and median survival time around 8 years [6], [7] . In general, EMPs outside of the head and neck locations have a poorer prognosis [8] . EMPs in the case of multiple myeloma have a far worse prognosis and the presence of EMP in the testicles is considered evidence of extensive disease.…”

Plasmacytoma of the Testis

“…To our knowledge, fewer than 10 cases of primary testicular plasmacytoma did not progress to multiple myeloma, with variable periods of followup. 4,11,[13][14][15][16][17][18] Gowing 19 suggested observation for about 1 year to determine the primary or secondary nature of an extramedullary plasmacytoma, although multiple myeloma can develop years later. Long-term observation is therefore necessary to confirm a diagnosis of primary testicular plasmacytoma.…”