Abstract
Primary testicular non-Hodgkin’s lymphoma (NHL) has a very low incidence. Therefore, clinical examination and imaging of testis is overlooked in the routine mapping of NHL. We discuss a case of Waldeyer’s ring NHL who also had asymptomatic testicular lymphoma on presentation and the importance of testicular ultrasound in NHL workup.
Highlights
About one third of non-Hodgkin’s lymphoma (NHL) occur primarily at extra-nodal sites but the number of publications on specific extra-nodal sites and lymphoma types remain low due to the scarcity of cases[1]
Biopsy sample obtained through direct laryngoscopy of the base of tongue and testicular histology showed features of a high-grade NHL (B-cell type)
Only about 1 to 9 percent fall into the category of testicular lymphomas
Summary
About one third of NHL occur primarily at extra-nodal sites but the number of publications on specific extra-nodal sites and lymphoma types remain low due to the scarcity of cases[1]. The patient has a past medical history significant for chronic obstructive airway disease Biopsy sample obtained through direct laryngoscopy of the base of tongue and testicular histology showed features of a high-grade NHL (B-cell type). Contrast-enhanced CT scan showed large soft tissue mass with central necrosis anterior to the aorta extending towards the left kidney encasing the superior mesenteric vessels and renal vessels. There was another enhancing lesion seen at the base of the tongue. Patient was referred to the multidisciplinary meeting to discuss further management
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