Bilateral primary testicular diffuse large B-cell lymphoma: a case report
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Updated: Oct 14, 2025

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Published on: February 12, 2022
Baskara Batista1, Ferry Safriadi1
1Department of Urology, Faculty of Medicine, Universitas Padjadjaran, Hasan Sadikin General Hospital, Bandung, Indonesia.
Abstract:
Primary testicular lymphoma is a rare but aggressive form of extranodal lymphoma. A 48-year-old man came with painless lump on both testicles since 10 months ago. Testicular tumour marker revealed increased LDH. Testicular USG revealed semi-solid spongiform mass in the right epididymis and bilateral testicles, suggesting malignancy and minimal bilateral hydroceles. Histopathologic examination revealed diffuse large B-cell type lymphoma. Orchiectomy alone is not the definite treatment. Chemotherapy was given to increase survival rate. It is important to diagnose the disease with adequate diagnostic work up to achieve better prognosis and early treatment.
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