Primary testicular lymphoma, diffuse subtype of large b cells, about a case

Abstract

Introduction: Testicular cancer is the most common malignancy in men from 15 to 45 years, it represents 1% of male tumors and 5% of urological malignancies, its incidence has doubled in the last 40 years; effective management and prognosis are excellent with >90% healing rate and >95% survival rate at 5 years. Objective: to explain the clinical- epidemiological characteristics of diffuse testicular lymphoma of large B cells. Methodology: we made a review of the bibliography on the subject and presented the results. Results and discussion: Lymphomas areup to34.7% of paratesticular stromal tumors and may be primarys (LTP) or secondarys. Diffuse large B-cell lymphoma (LDCGB) is the most common type of testicular lymphoma. Most patients have a one-sided testicular mass andup to90% have stage I or II disease at the time of diagnosis. In 35% of patients, bilateral testicular involvement is detected and in more advanced stages there is paraaortic lymph node involvement; ascites and abdominal pain are evident. The surgical treatment combined with R-CHOP21, IT-MTX and RT testicular has been associated with a good result. We made a case presentation of a patient diagnosed with diffuse testicular lymphoma of large B cells. Conclusions: testicular lymphoma can be primary or secondary and its management is based on orchiectomy and chemotherapy.