RESUMEN
Primary lymphomas of the spermatic cord are extremely rare. To date, only 15 cases have been reported in the international literature. Herein, we report a new case of a primary lymphoma of the spermatic cord. A 73-year-old patient presented at the Urology Department, complaining of bilateral painful masses at the inguino-scrotal region. A computed tomography scan revealed spermatic cord tumor. A right inguinal orchidectomy was performed in order to establish a definitive diagnosis. Macroscopically, the tumor was restricted to the spermatic cord area, leaving unaffected the testis and the epididymis. The histopathological and immune-histological evaluation has indicated a diffuse large B-cell lymphoma. Postoperatively, the patient was investigated thoroughly but no further signs of the disease were found.
Asunto(s)
Anciano , Antígenos CD79/análisis , Neoplasias de los Genitales Masculinos/diagnóstico , Neoplasias de los Genitales Masculinos/patología , Histocitoquímica , Humanos , Inmunohistoquímica , Linfoma/diagnóstico , Linfoma/patología , Masculino , Microscopía , Radiografía Abdominal , Cordón Espermático/patología , Tomografía Computarizada por Rayos XRESUMEN
Metastatic tumors of the spermatic cord are rare. In the majority of cases the primary tumor occurs in the gastrointestinal tract, with metastasis to the spermatic cord by retrograde lymphatic flow, or direct invasion of tumor cells through the peritoneal cavity. The possibility of metastasis or recurrence of prior malignancies should be considered when a palpable tumor is identified in the scrotum or spermatic cord. Here, we document a case of gastric cancer involving metastasis to the spermatic cord.