Testicular lymphoma - secondary involvement

Case contributed by Bruno Di Muzio

Presentation

Testicular pain.

Patient Data

Age: 65 years
Gender: Male

Scrotal ultrasound

ultrasound

Well-defined mass-like lesion expanding the left testicle. The lesion is hypoechoic and shows preserved testicular vascularity throughout. Small left hydrocele. The right testicle and the epididymis are normal. 

18F-FDG PET-CT

Nuclear medicine

Selected image from the PET CT showing marked uptake within the left testicle. 

Case Discussion

This patient had confirmed diffuse large B-cell lymphoma(DLBCL), which accounts for the majority (~80%) of testicular lymphoma cases. 

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