Abstract

IntroductionExtramedullary plasmacytoma is a rare plasma cell neoplasm. Plasmacytomas are most commonly found in the head and neck region, but can occur in many other locations. They rarely occur in the testis, and are commonly associated with concurrent multiple myeloma at the time of diagnosis. Isolated plasmacytoma of the testis is exceedingly rare, with few cases reported in the literature.Case presentationA 72-year-old Caucasian man presented with a painless testicular mass treated by orchiectomy. The mass was determined to be plasmacytoma on pathological examination. At the time of diagnosis, our patient did not have multiple myeloma, and is currently undergoing chemotherapy for treatment of his disease.ConclusionIsolated plasmacytoma of the testicle is a rare cause of testicular mass, and is seldom reported in the literature. Patients with this disease require careful monitoring because of their high risk of progression to multiple myeloma. The diagnosis of testicular plasmacytoma can be challenging for primary care doctors and urologic specialists. This condition should be in the differential diagnosis in elderly men.

Highlights

  • ConclusionIsolated plasmacytoma of the testicle is a rare cause of testicular mass, and is seldom reported in the literature

  • Extramedullary plasmacytoma is a rare plasma cell neoplasm

  • Isolated plasmacytoma of the testicle is a rare cause of testicular mass, and is seldom reported in the literature

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Summary

Conclusion

EMP is a rare form of plasma cell neoplasm. This tumor can present in many locations in the body, the testicle being one of the rarer sites. Plasmacytomas often resemble other more common causes of testicular mass, and require multiple diagnostic tests for accurate diagnosis. Patients with isolated plasmacytoma have high rates of progression to multiple myeloma later in life. For this reason, it is important to accurately diagnose plasmacytoma and survey these patients appropriately for progression to disseminated disease. Plasmacytoma of the testicle is exceedingly rare, but an important disease to consider in patients presenting with testicular mass, an elderly patient

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