Primary testicular lymphoma--A case report

Primary lymphoma of the testis is more commonly seen in the elderly age group. A 45-year-old Hindu male with histopathological diagnosis of non-Hodgkin's lymphoma of the right testis presented after orchiectomy of the right testis. The patient was put on two cycles of chemotherapy consisting of cyclophosphamide, vincristine, adriamycin and prednisolone at 3- weekly interval followed by external radiation therapy. During follow-up after 7 years he developed left facial nerve palsy and left sided haemiparesis. On CT scan of the brain multiple space occupying lesions were seen in both the hemispheres of the brain. He was put on cranial radiation therapy with intrathecal methotrexate injections. He responded favourably with the treatment.