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

Shivam Joshi, Ahmed M. Mansour, Ahmed Eldefrawy, Mark S. Soloway

Department of Urology, University of Miami Miller School of Medicine, Miami, Florida, USA
Address correspondence to Dr. Mark Soloway, Department of Urology, University of Miami Miller School of Medicine, 501 Dominion Towers, 1400 NW 10^th Avenue, Miami, FL 33136 USA

Canadian Journal of Urology 2012, 19(6), 6581-6583.

Abstract

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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