Unusual continuous intra-abdominal spread of primary testicular lymphoma along the spermatic cord and gonadal vessels: Report of 2 cases

Avinash Sabale, DMRD, DNB
Anil Prahladan, DNB
Kalirajan Kalidos, DNB
Sumod Mathew Koshy, MBBS
Krishnankutty Ramachandran, MD

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Publication date

December 2015

DOI

10.1016/j.radcr.2015.06.004

Publisher

Elsevier

ISSN

1930-0433

Journal

issn:1930-0433

Abstract

Primary testicular lymphoma (PTL) is an uncommon neoplasm (<5% of all testicular tumors). Testicular lymphoma presents with homogeneous mass, hyperintense on T1-weighted images, and iso-to-hypointense on T2-weighted images with strong diffusion restriction and homogeneous contrast enhancement. Seminoma testis, a close differential due to T2 hypointensity and homogeneousity, can be differentiated by its lower diffusion restriction and younger age group. Involvement of spermatic cord and epididymis is rare with seminoma. Intra-abdominal extension along the gonadal vein is not reported. PTL disseminates to extranodal sites. However, extension of PTL along the spermatic cord and gonadal vein up to the inferior vena cava is a rare phenomenon. We...