Testicular Lymphoma: Clinical and Imaging Features

Pattamapaspong, Nuttaya; Khomarwut, K; Ya-In, Charin; Lojanapiwat, B; Muttarak, M

doi:10.12809/hkjr1615350

Cited by 1 publication

(3 citation statements)

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“…Spermatic cord lymphoma is an unusual variety of lymphoma and a rare form of primary spermatic cord malignancy. It accounts for 1.6% of spermatic cord tumors [ 1 , 2 ]. Most of these cases come under the umbrella of diffuse large B-cell non-Hodgkin’s lymphoma, which is the most common histological type [ 2 ], with other types including Burkitt and follicular variants.…”

Section: Discussionmentioning

confidence: 99%

“…It accounts for 1.6% of spermatic cord tumors [ 1 , 2 ]. Most of these cases come under the umbrella of diffuse large B-cell non-Hodgkin’s lymphoma, which is the most common histological type [ 2 ], with other types including Burkitt and follicular variants. Mid to old-aged men are predominantly affected by this variant of malignancy [ 1 , 5 - 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…The ultrasound plays an important role as the initial and basic modality to visualize the tumor followed by enhanced imaging modalities that aid in the diagnosis and thus benefit the patient. The risk factors include a history of cryptorchidism, recurrent orchitis, and trauma; however, these risk factors are not established entities, and the only risk factor that has a strong association is an HIV infection [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

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Concomitant Presence of Spermatic Cord and Testicular Non-Hodgkin's Lymphoma With Recurrence: A Case Report on a Rare Entity

Panneerselvam¹,

Ilangovan²,

Parthasarathy³

et al. 2022

Cureus

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Primary testicular non-Hodgkin's lymphoma (PTNHL) with contiguous involvement of the spermatic cord is a rare occurrence and presentation of the disease, and it mostly involves elderly men between the sixth and eighth decades of life. PTNHL is a rare form of primary testicular malignancy that accounts for 1% of all non-Hodgkin's lymphoma cases and 5-10% of all testicular malignancies. This case report discusses a 73-year-old man who presented with right-sided inguinoscrotal swelling for six months, which had progressively increased in size. The patient was referred to the surgical department, and the examination revealed a hard-palpable mass with thickening of the cord. The initial imaging included an ultrasound, demonstrating a heteroechoic mass inseparable from the right testis with evidence of mild increased internal vascularity. Due to the high suspicion of malignancy, a right orchidectomy was performed. The patient subsequently developed another swelling after seven months, over the right inguinal region, which had progressively increased in size. MRI of the pelvis and CT of the abdomen and chest revealed a lobulated, intermediate intense lesion in the right inguinoscrotal region. This case report demonstrates the importance of radiological imaging in assessing and detecting the characteristics of concomitant lesions by using various imaging modalities and assessing the extent of spread. In addition, radiological imaging helps in the early diagnosis of the disease and facilitates prompt and early treatment to achieve favorable outcomes for the patient. The radiologist should include a differential diagnosis of PTNHL when imaging for a painless inguinoscrotal mass.

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Section: Discussionmentioning

confidence: 99%