The age factor in bilateral hydrocele diagnosis secondary to a primitive testis lymphoma : case report, diagnosis and therapy
Primitive NHL represents 9% of testis tumours and the 85% is diagnosed in patient older thant 60 years old. Usually pain and a testis mass are the main manifestations. The Authors report the case of a 82 years-old man with bilateral hydrocele causing severe alteration in the deambulation. The cytology did not show blood cells or neoplastic cell in the FNAB. The US showed a complete modification in the testis. The patient underwent to surgery intervention of vaginalis tunic eversion and resection with the aim of control the symptoms. The histology on multiple biopsy of testis and epidydims bilaterally showed a large B-cell lymphoma. The patient was treated with 6 chemotheray cycles (Rituximab, Vincristine, Cyclophosphamide, Prednisone). Bilateral hydrocele is a rare clinical presentation of testis NHL. In this patient, blood and neoplastic cell absence in the cytology made difficult the differential diagnosis between inflammatory pathology and neoplasia. Hystopathologic study and immunologic pattern can make a certain diagnosis.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2012 |
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| Erschienen: |
2012 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:163 |
|---|---|
| Enthalten in: |
La Clinica terapeutica - 163(2012), 1 vom: 15., Seite e23-6 |
| Sprache: |
Italienisch |
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| Weiterer Titel: |
Il fattore età nella diagnosi clinica di idrocele bilaterale da linfoma primitivo del testicolo: caso clinico e considerazioni diagnostico-terapeutiche |
|---|
| Beteiligte Personen: |
Spaziani, E [VerfasserIn] |
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| Themen: |
4F4X42SYQ6 |
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| Anmerkungen: |
Date Completed 22.06.2012 Date Revised 25.11.2016 published: Print Citation Status MEDLINE |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM215688422 |
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| 245 | 1 | 4 | |a The age factor in bilateral hydrocele diagnosis secondary to a primitive testis lymphoma |b case report, diagnosis and therapy |
| 246 | 3 | 3 | |a Il fattore età nella diagnosi clinica di idrocele bilaterale da linfoma primitivo del testicolo: caso clinico e considerazioni diagnostico-terapeutiche |
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| 500 | |a Date Completed 22.06.2012 | ||
| 500 | |a Date Revised 25.11.2016 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Primitive NHL represents 9% of testis tumours and the 85% is diagnosed in patient older thant 60 years old. Usually pain and a testis mass are the main manifestations. The Authors report the case of a 82 years-old man with bilateral hydrocele causing severe alteration in the deambulation. The cytology did not show blood cells or neoplastic cell in the FNAB. The US showed a complete modification in the testis. The patient underwent to surgery intervention of vaginalis tunic eversion and resection with the aim of control the symptoms. The histology on multiple biopsy of testis and epidydims bilaterally showed a large B-cell lymphoma. The patient was treated with 6 chemotheray cycles (Rituximab, Vincristine, Cyclophosphamide, Prednisone). Bilateral hydrocele is a rare clinical presentation of testis NHL. In this patient, blood and neoplastic cell absence in the cytology made difficult the differential diagnosis between inflammatory pathology and neoplasia. Hystopathologic study and immunologic pattern can make a certain diagnosis | ||
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