J Korean Soc Radiol.
2021 Sep;82(5):1287-1291. 10.3348/jksr.2020.0167.
Unusual Presentation of a Testicular Lymphoma Mimicking a Missed Testicular Torsion: A Case Report
- Affiliations
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- 1Department of Radiology, Wonkwang University College of Medicine, Wonkwang University Hospital, Iksan, Korea
- KMID: 2520709
- DOI: http://doi.org/10.3348/jksr.2020.0167
Abstract
- Testicular lymphoma is an uncommon testicular tumor that usually presents as a painless mass. It usually shows hypervascularity on color Doppler ultrasound (US) and a mild enhancement on enhanced CT or MRI. We present an unusual case of a testicular lymphoma mimicking a missed testicular torsion in a 67-year-old male patient with right scrotal swelling and intermittent pain for 2 months. Color Doppler US demonstrated the absence of vascularity in the enlarged right testis, and the initial diagnosis was a missed testicular torsion. CT demonstrated a poorly enhancing mass rather than a missed testicular torsion with enhanced small nodular foci at the periphery. The final pathological diagnosis was testicular lymphoma.
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