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Imaging of primary testicular lymphoma with unusual intraabdominal spread along the spermatic cord and gonadal vein

Imaging of primary testicular lymphoma with unusual intraabdominal spread along the spermatic cord and gonadal vein

Authors :
Pooja Jain
Anuradha Sharma
Prateek Kumar Madaan
Amita Malik
Ritu Misra
Source :
Radiology Case Reports, Vol 16, Iss 3, Pp 419-424 (2021), Radiology Case Reports
Publication Year :
2021
Publisher :
Elsevier, 2021.

Abstract

Primary testicular lymphoma (PTL) is a rare Testicular neoplasm found in elderly patients. Imaging features in PTL presenting with contiguous involvement of spermatic cord and extension along gonadal vein have been rarely detailed before. We describe a case of a 50-year-old male who presented with complaints of scrotal swelling and abdominal discomfort. Imaging, which included Ultrasonography and contrast-enhanced computed tomography of chest-abdomen, showed features of aggressive-looking bilateral testicular mass lesions with the distinctive feature of contiguous spread along the spermatic cord and gonadal vein till retroperitoneum and disseminated chest and abdominal metastases. The distinctive feature of contiguous extension along the spermatic cord and gonadal vein can help suggest a diagnosis of PTL on imaging.

Details

Language :
English
ISSN :
19300433
Volume :
16
Issue :
3
Database :
OpenAIRE
Journal :
Radiology Case Reports
Accession number :
edsair.doi.dedup.....539764b93d9a4ed0f50d888ff5307b48