Extramedullary plasmacytoma of the testicle. Sonographic appearance and ultrasonically guided biopsy.
Extramedullary plasmacytomas of the testis are extremely rare. This is a report of a patient with plasmacytoma of the testicle who also had an extramedullary plasmacytoma of the epipharynx 12 months earlier. Sonography (US) scans showed a heterogeneous mass of the right testicle with hypoechoic echo pattern; ultrasonically guided fine-needle aspiration biopsy (UGFNAB) allowed confirmation of the diagnosis. Immunoperoxidase studies, performed on histologic specimen after a radical right orchiectomy showed a monoclonal staining pattern of intracellular immunoglobulin for IgA-K type. Bone marrow biopsy, skeletal X-ray and immunoelectrophoresis were all within normal limits. The patient was successfully treated by surgery and is still alive with no evidence of disease.
Divisione Medica I, Ospedale Civile di Piacenza, Italy.
L
L
Cavanna
F
F
Fornari
G
G
Civardi
M
M
Di Stasi
G
G
Sbolli
R
R
Foroni
F
F
Voltolini
L
L
Buscarini
D000368:Aged; D001707:Biopsy, Needle / Q000379:methods; D006801:Humans; D008297:Male; D010954:Plasmacytoma / Q000175:diagnosis* / Q000473:pathology; D013736:Testicular Neoplasms / Q000175:diagnosis* / Q000473:pathology; D014463:Ultrasonography