Primary T-cell lymphoma of the testicle: a rare case report of its clinical presentation, radiologic findings, pathologic interpretation, and treatment

Testicular T-cell lymphoma is an extremely rare disease, with a particularly poor prognosis. This report reviews the clinical, radiologic and pathologic features of a case of testicular T-cell lymphoma, as well as the current treatment recommendations and prognosis of this disease based on current literature. A 78-year-old male presented with unilateral testicular swelling. Ultrasound confirmed an intra-testicular mass, and subsequent orchiectomy was performed. Pathologic diagnosis was consistent with primary peripheral T-cell lymphoma of the testicle. There was no evidence of metastatic disease. He is currently undergoing CHOP chemotherapy followed by intrathecal chemotherapy. Primary testicular T-cell lymphoma is a very rare disease with few case reports in the literature. Evaluation should always include CT imaging, lumbar puncture and bone marrow biopsy. The diagnosis imparts a poor prognosis, with an overall median survival of 12-24 months.

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