Liu K-L, Chang C-C, Huang K-H, Tsang Y-M, Chen S-J
Department of Medical Imaging, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan.
Abdom Imaging. 2006 Sep-Oct;31(5):610-2. doi: 10.1007/s00261-005-0115-0. Epub 2006 Feb 7.
Testicular lymphoma is a rare clinicopathologic entity that has rapid progression and poor prognosis. This report describes a case of a 62-year-old man who presented with a large testicular tumor and extensive lymphadenopathy along the spermatic cord and gonadal vessels to the renal vein level. Testicular lymphoma was considered, and biopsy confirmed a non-Hodgkin, large, B-cell lymphoma. The distribution of lymphadenopathy differs from that of paraaortic lymph nodes that present as other testicular tumors (seminoma or nonseminoma). The finding may be a useful characteristic for timely diagnosis of testicular lymphoma, although the diagnosis should be suspected in an older patient who presents with a testicular neoplasm and increased lactic dehydrogenase levels but without increased alpha-fetoprotein and human chorionic gonadotropin levels.
睾丸淋巴瘤是一种罕见的临床病理实体，进展迅速且预后不良。本报告描述了一例62岁男性患者，其表现为巨大睾丸肿瘤，并伴有沿精索和性腺血管至肾静脉水平的广泛淋巴结病。考虑为睾丸淋巴瘤，活检证实为非霍奇金大B细胞淋巴瘤。淋巴结病的分布与作为其他睾丸肿瘤（精原细胞瘤或非精原细胞瘤）表现的主动脉旁淋巴结不同。这一发现可能是及时诊断睾丸淋巴瘤的有用特征，尽管对于出现睾丸肿瘤且乳酸脱氢酶水平升高但甲胎蛋白和人绒毛膜促性腺激素水平未升高的老年患者应怀疑有此诊断。
