Pérez García F J, Fernández Gómez J M, Martín Huéscar A, Sahagún Argüello J L, Rábade Rey C J, Rodríguez Martínez J J, Pérez del Río M J
Servicio de Urología, Hospital Covadonga, Hospital Central de Asturias, Oviedo, España.
Arch Esp Urol. 1997 Mar;50(2):199-201.
Involvement of extralymphatic tissue in chronic lymphocytic leukemia (CLL) is uncommon and that of the epididymis and spermatic cord is rare. This paper describes an unusual case with metastasis to both epididymis and the spermatic cord as the first sign of reactivation of CLL.
METHODS/RESULTS: A patient with CLL is described. The first sign of disease progression was the involvement of both epididymis and the spermatic cord. The literature on tumors of the epididymis and spermatic cord and CLL is briefly reviewed.
Metastatic tumors of the epididymis and spermatic cord are rare. The importance of the pathological findings in making the diagnosis is underscored.
慢性淋巴细胞白血病（CLL）累及淋巴外组织并不常见，累及附睾和精索则更为罕见。本文描述了一例罕见病例，其以附睾和精索转移作为CLL复发的首发征象。
方法/结果：本文报道了一名CLL患者。疾病进展的首发征象是附睾和精索均受累。本文简要回顾了有关附睾和精索肿瘤以及CLL的文献。
附睾和精索的转移性肿瘤较为罕见。强调了病理检查结果在诊断中的重要性。
