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Clinics in diagnostic imaging (134). Testicular lymphoma
T Srisuwan1, M Muttarak, P Kitirattrakarn
1Department of Radiology, Chiang Mai University, 110 Intavaroros Road, Amphoe Muang, Chiang Mai 50200, Thailand.
Singapore Medical Journal
|April 1, 2011
Summary
A painless scrotal mass in a 55-year-old man was diagnosed as diffuse large B-cell lymphoma confined to the testis. This case highlights the importance of considering lymphoma in the differential diagnosis of testicular masses.
Area of Science:
- Urology
- Oncology
- Pathology
Background:
- Intratesticular masses can present with varied etiologies.
- Distinguishing benign from malignant testicular lesions is crucial for appropriate management.
Purpose of the Study:
- To report a case of primary testicular lymphoma.
- To discuss the diagnostic challenges and differential diagnosis of intratesticular masses.
Main Methods:
- Case presentation of a 55-year-old male with a painless scrotal mass.
- Diagnostic workup included scrotal ultrasonography.
- Surgical management via right radical orchiectomy followed by histopathological examination.
Main Results:
- Ultrasonography revealed a large, hypoechoic, hypervascular intratesticular mass.
- Histopathology confirmed diffuse large B-cell lymphoma confined to the tunica albuginea.
- Postoperative recovery was good with no evidence of systemic disease.
Conclusions:
- Primary testicular lymphoma should be considered in the differential diagnosis of intratesticular masses.
- Ultrasonographic features, while suggestive, require histopathological confirmation.
- Early diagnosis and treatment are essential for favorable outcomes in testicular lymphoma.
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