Imaging Diagnosis of Testicular Lymphoma in Young Male Patient: Incidental Finding in Ultrasonography
DOI:
https://doi.org/10.3889/oamjms.2023.11335Keywords:
lymphoma, testicular, young patient, ultrasoundAbstract
BACKGROUND: Ultrasonography is a common diagnostic procedure in patients with testicular abnormalities. Primary testicular lymphoma (PTL) is rarely discovered and is more common among elderly populations.
CASE PRESENTATION: This case describes a young male patient with a history of painless testicular enlargement. Ultrasonography reveals an incidental finding of hypoechoic echo structural mass and increased vascularity using color Doppler ultrasonography. The further pathological examination discovered the findings indicative of a non-Hodgkin, diffuse, and large B-cell lymphoma. These distinctive features should be helpful in suggesting a diagnosis of PTL on imaging.
CONCLUSION: PTL is a rare and aggressive extranodal NHL. Despite its low incidence, it is an extremely rare testicular cancer at a young age. Careful ultrasound imaging examination should be applied in patients with testicular enlargement. The presence of hypoechoic echostructural and an increase in vascularity should be considered for the possibility of a diagnosis of primary testicular tumor.
Downloads
Metrics
Plum Analytics Artifact Widget Block
References
Horne MJ, Adeniran AJ. Primary diffuse large B-cell lymphoma of the testis. Arch Pathol Lab Med. 2011;135(10):1363-7. https://doi.org/10.5858/arpa.2010-0158-RS PMid:21970494 DOI: https://doi.org/10.5858/arpa.2010-0158-RS
Menter T, Ernst M, Drachneris J. Phenotype profiling of primary testicular diffuse large B-cell lymphomas. Hematol Oncol. 2014;32:72-81. https://doi.org/10.1002/hon.2090 PMid:23949965 DOI: https://doi.org/10.1002/hon.2090
Brouwer CL, Wiesendanger EM, van der Hulst PC, van Imhoff GW, Langendijk JA, Beijert M. Scrotal irradiation in primary testicular lymphoma: Review of the literature and in silico planning comparative study. Int J Radiat Oncol Biol Phys. 2013;85(2):298-308. https://doi.org/10.1016/j.ijrobp.2012.06.019 PMid:22836054 DOI: https://doi.org/10.1016/j.ijrobp.2012.06.019
Liu KL, Chang CC, Huang KH, Tsang YM, Chen SJ. Imaging diagnosis of testicular lymphoma. Abdom Imaging. 2006;31(5):610-2. https://doi.org/10.1007/s00261-005-0115-0 PMid:16465583 DOI: https://doi.org/10.1007/s00261-005-0115-0
Zucca E, Conconi A, Mughal TI. Patterns of outcome and prognostic factors in primary large-cell lymphoma of the testis in a survey by the International Extranodal Lymphoma Study Group. J Clin Oncol. 2003;21(1):20-7. https://doi.org/10.1200/JCO.2003.11.141 PMid:12506165 DOI: https://doi.org/10.1200/JCO.2003.11.141
Vitolo U, Ferreri AJ, Zucca E. Primary testicular lymphoma. Crit Rev Oncol Hematol. 2008;65(2):183-9. https://doi.org/10.1016/j.critrevonc.2007.08.005 PMid:17962036 DOI: https://doi.org/10.1016/j.critrevonc.2007.08.005
Lung PF, Sidhu PS. Role of ultrasound in the diagnosis of testicular lesions. Imaging Med. 2011;3(5):587-95. DOI: https://doi.org/10.2217/iim.11.40
Bertolotto M, Lorenzo D, Mustafá S, Vikram D. Grayscale and color Doppler features of testicular lymphoma. J Ultrasound Med. 2015;34(6):1139-45. https://doi.org/10.7863/ultra.34.6.1139 PMid:26014335 DOI: https://doi.org/10.7863/ultra.34.6.1139
Mazloom A, Fowler N, Medeiros LJ. Outcome of patients with diffuse large B-cell lymphoma of the testis by the era of treatment: The M. D. Anderson cancer center experience. Leuk Lymphoma. 2010;51(7):1217-24. https://doi.org/10.3109/10428191003793358 PMid:20443676 DOI: https://doi.org/10.3109/10428191003793358
Thomas LC, Adonizio C, Filicko-O’Hara J. Testicular lymphoma. Semin Oncol. 2010;37(6):549-54. https://doi.org/10.1053/j.seminoncol.2010.10.022 PMid:21167372 DOI: https://doi.org/10.1053/j.seminoncol.2010.10.022
Bhat S, Sachin J, Ramaprasad, Job S. Striated pattern on scrotal ultrasonography: A marker for Non-Hodgkins lymphoma of testis. Indian J Urol. 2014;30(1):113-4. https://doi.org/10.4103/0970-1591.124220 PMid:24497696 DOI: https://doi.org/10.4103/0970-1591.124220
Srisuwan T, Muttarak M, Kitirattrakarn P, Ya-in C. Clinics in diagnostic imaging Testicular lymphoma. Singapore Med J. 2011;52(3):204-8. PMid:21451930
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2023 Sony Sutrisno (Author)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
http://creativecommons.org/licenses/by-nc/4.0
