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Published on: February 12, 2022
Primary diffuse large B-cell lymphoma of the testis: a case-report
Maria Gaetana Lamendola1, Franca Ferraraccio, Umberto Pane
1Istituto di Anatomia Patologica, Seconda Università degli Studi, Napoli, Italy.
Insights
A rare case of primary non-Hodgkin lymphoma of the testis, specifically diffuse large B-cell lymphoma, was diagnosed in a 74-year-old man presenting with testicular swelling. This highlights the importance of considering lymphoma in testicular masses.
Area of Science:
- Oncology
- Pathology
Background:
- Primary non-Hodgkin lymphoma of the testis is a rare malignancy.
- Testicular swelling can be indicative of various conditions, including malignancy.
Observation:
- A 74-year-old male presented with a one-month history of testicular swelling.
- Physical examination revealed testicular enlargement, prompting further investigation.
Findings:
- Light microscopy confirmed diffuse large B-cell lymphoma involving the epididymis, rete testis, and testicular parenchyma.
- Immunohistochemistry showed tumor cells positive for CD45, CD20, and Ki67.
Implications:
- This case underscores the need for thorough diagnostic evaluation of testicular masses.
- Understanding the clinical and pathological features of primary testicular lymphoma is crucial for appropriate management.
Abstract:
We report a case of a primary non-Hodgkin lymphoma of the testis in a 74-year-old man presented with a 1-month history of testicular swelling. The patient was submitted to right inguinal orchidectomy for the definitive diagnosis. Light microscopy demonstrated sheets of lymphoma cells involving epididymis and rete testis, but mainly extended into testicular parenchyma. The malignant cells were large with scant cytoplasm and large vesicular nuclei, the classic appearance of a diffuse large B-cell lymphoma. The immunohistochemical study was carried out, with the tumour cells being intensively positive for CD45, CD20 and Ki67 nuclear proliferative antigen. Clinical and pathological features of this non-Hodgkin lymphoma are described and discussed.
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