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Diffuse large B cell lymphoma of the spermatic cord: a case report and literature review

Joshi, S.; Mansour, A.M.; Eldefrawy, A.; Soloway, M.S.

Canadian Journal of Urology 19(6): 6581-6583

2012

ISSN/ISBN: 1195-9479
PMID: 23228297
Document Number: 656804
Primary lymphoma of the spermatic cord is rare. We report a case of primary lymphoma of the spermatic cord and review the literature. A 77-year-old man presented with a 5 month history of an enlarging right inguino-scrotal mass. On physical exam, the mass involved the spermatic cord. Computerized tomography and magnetic resonance imaging revealed a 10 cm x 4 cm inguinoscrotal mass related to the spermatic cord. A right inguinal orchidectomy with wide local excision was performed. Pathological and immunohistochemical evaluation identified the tumor as a diffuse large B cell lymphoma of the spermatic cord. Postoperatively, patient began a chemoradiotherapy regimen consistent with metastatic lymphoma.

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