title: [Bilateral isolated infiltration in the epididymis and sperm cord as first sign of chronic lymphatic leukemia].
abstract: OBJECTIVE
  Involvement of extralymphatic tissue in chronic lymphocytic leukemia (CLL) is uncommon and that of the epididymis and spermatic cord is rare. This paper describes an unusual case with metastasis to both epididymis and the spermatic cord as the first sign of reactivation of CLL.
  
  
  RESULTS
  A patient with CLL is described. The first sign of disease progression was the involvement of both epididymis and the spermatic cord. The literature on tumors of the epididymis and spermatic cord and CLL is briefly reviewed.
  
  
  CONCLUSIONS
  Metastatic tumors of the epididymis and spermatic cord are rare. The importance of the pathological findings in making the diagnosis is underscored.
authors.affiliation: Servicio de Urología, Hospital Covadonga, Hospital Central de Asturias, Oviedo, España.
authors.forename: F J
authors.initials: FJ
authors.lastname: Pérez García
authors.forename: J M
authors.initials: JM
authors.lastname: Fernández Gómez
authors.forename: A
authors.initials: A
authors.lastname: Martín Huéscar
authors.forename: J L
authors.initials: JL
authors.lastname: Sahagún Argüello
authors.forename: C J
authors.initials: CJ
authors.lastname: Rábade Rey
authors.forename: J J
authors.initials: JJ
authors.lastname: Rodríguez Martínez
authors.forename: M J
authors.initials: MJ
authors.lastname: Pérez del Río
mesh_terms: D004822:Epididymis / Q000473:pathology*; D006801:Humans; D015451:Leukemia, Lymphocytic, Chronic, B-Cell / Q000473:pathology*; D017254:Leukemic Infiltration / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D013085:Spermatic Cord / Q000473:pathology*