Abstract
Primary Non-Hodgkin’s Lymphoma of Testis is a rare and unique tumor. It is more common than primary testicular tumors in males above 50 years. It often shows bilaterality and systemic spread, particularly to central nervous system. Due to its rarity and aggressive nature, opinion regarding its treatment regime is rather divided and its prognosis is poor. Here we present a case of 60 year old male with rapid enlargement of right testis with no extra-testicular manifestation of lymphoma at the time of presentation.
 Keywords: Primary non-Hodgkin’s Lymphoma of Testis; Primary Testicular Lymphoma; Diffuse Large-cell Lymphoma of Testis.
Highlights
Primary malignant lymphoma of the testis is a rare disease that accounts approximately for 5% of all testicular neoplasm and only 1% of lymphoma presentations
High orchidectomy was performed and specimen was sent for histopathology
It has a predilection for dissemination to non-contiguous extranodal sites such as the central nervous system (CNS), Waldeyer's ring, skin and lungs [4,5]
Summary
Primary malignant lymphoma of the testis is a rare disease that accounts approximately for 5% of all testicular neoplasm and only 1% of lymphoma presentations. Final diagnosis of primary lymphoma of testis – nonhodgkin’s, diffuse, large cell type, high grade, was made. On being enquired about his recovery, he mentioned that since past five days he had developed a right axillary mass, which on examination was about two centimeter in diameter and was non-tender, discreet but showed restricted mobility. He showed the report of repeat CT scan of abdomen which had started showing para-aortic lymphadenopathy.
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