Testicular Mass in an Elderly Patient: a Rare Presentation of Hodgkin's Lymphoma
Overview
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A testicular mass in an elderly man has a high probability of being a lymphoma. However, when the pathologist is faced with a neoplastic lymphoid infiltrate in the testes, one rarely considers Hodgkin's lymphoma as a possibility, as a vast majority turn out to be diffuse large B cell lymphomas. The authors discuss the second case of Hodgkin's lymphoma, nodular sclerosis subtype, presenting as a painless enlarged testicle and associated symptoms similar to irreducible hernia in a 73-year-old gentleman. The patient was later found to have subdiaphragmatic lymph node disease. Hodgkin's lymphoma should therefore be given due consideration in the differential diagnosis of a testicular tumour with a predominantly lymphoid infiltrate.
An omental fibroma resembling a testicular tumour but presented as an irreducible inguinal hernia.
Khoo P, Jacob S J Surg Case Rep. 2017; 2017(8):rjx161.
PMID: 28852466 PMC: 5569949. DOI: 10.1093/jscr/rjx161.
Testicular Involvement in Relapsed Hodgkin Lymphoma.
Demircioglu S, Basturk A, Bilgin A Balkan Med J. 2016; 33(5):581-582.
PMID: 27761293 PMC: 5056668. DOI: 10.5152/balkanmedj.2016.151651.