Testicular leukemia can be seen in patients during and after acute leukemia. The blood-testis barrier limits chemotherapy from reaching the testicle, and therefore the testicle can act as a harbor for leukaemic cells.
Typically presents with painless testicular enlargement.
The ultrasound appearance is often similar to testicular lymphoma, but it can have a vary wide range of appearances.
- testicular enlargement
- unilateral or bilateral
- focal or diffuse
- hypoechoic to hyperechoic
Given the nonspecific imaging features, clinical history is necessary for a diagnosis.
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