1. Primary Testicular Lymphoma Involving the Spermatic Cord and Gonadal Vein
- Author
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Luke R. Scalcione, Ruth L. Badler, Michael S. Santoro, Sabrina Mahboob, Douglas S. Katz, and Elizabeth Yung
- Subjects
Male ,endocrine system ,medicine.medical_specialty ,Lymphoma ,Spermatic cord ,Veins ,Prostate cancer ,Testicular Neoplasms ,Fluorodeoxyglucose F18 ,Testis ,medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,Aged ,Spermatic Cord ,medicine.diagnostic_test ,urogenital system ,business.industry ,Ultrasound ,General Medicine ,Pet imaging ,medicine.disease ,Primary Testicular Lymphoma ,medicine.anatomical_structure ,Positron emission tomography ,Positron-Emission Tomography ,Radiology ,Radiopharmaceuticals ,Gonadal vein ,Tomography, X-Ray Computed ,business - Abstract
We report a case of a 70-year-old man with a history of prostatic adenocarcinoma and a 3-month history of right hemiscrotal swelling. The patient underwent a CT scan, scrotal ultrasound, and F-18 FDG-PET scan to evaluate for metastatic prostate cancer. The CT scan demonstrated an ill-defined soft-tissue mass extending along the right gonadal vein. Scrotal ultrasound revealed a heterogeneous right testicular mass. The F-18 FDG-PET scan demonstrated intense hypermetabolic activity along the course of the right gonadal vein extending to the right hemiscrotum. Subsequent right radical orchiectomy and pathologic examination revealed a B-cell lymphoma, infiltrating the testicular parenchyma, spermatic cord, gonadal vessels, and adjacent soft-tissues. Lymphoma or other tumors rarely infiltrate the spermatic cord, and have only very rarely been demonstrated on PET imaging.
- Published
- 2009
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