[Testicular leukemic infiltration].
OBJECTIVE
To remind that despite its low incidence, leukemic relapse in the testicles worsens the prognosis of this haematopoietic neoplasia.


RESULTS
We report the case of a 20-year-old male suffering from acute lymphoblastic leukemia in complete remission after induction and maintenance treatment, who suffered a leukemic relapse in both testicles. Diagnosis was made by ultrasound and confirmed after bilateral testicular biopsies. The patient died due to fungal infection after new treatment with systemic chemotherapy and bone marrow transplantation.


CONCLUSIONS
It is necessary to suspect the existence of leukemic cells within the testicles in patients with this disease, mainly acute lymphoblastic leukemia, who present with acute testicular symptoms. Testicular biopsy confirms the diagnosis. Treatment is systemic, with testicular radiation to eradicate the leukemic reservoir. Despite the achievement of local disease control, this situation worsens the prognosis.
Llarena Ibarguren
Roberto
R
Servicio de Urología Hospital de Cruces Pz. de Cruces s/n 48903 Baracaldo, Vizcaya, España.
Lecumberri Castaños
David
D
Padilla Nieva
Jesús
J
Crespo Atín
Víctor
V
Martín Bazaco
Jesús
J
Azurmendi Sastre
Víctor
V
Eizaguirre Zarza
Beatriz
B
Pertusa Peña
Carlos
C
D000328:Adult; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D016026:Bone Marrow Transplantation; D003131:Combined Modality Therapy; D017809:Fatal Outcome; D006801:Humans; D017254:Leukemic Infiltration / Q000532:radiotherapy; D008297:Male; D009181:Mycoses / Q000150:complications; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000473:pathology* / Q000628:therapy; D013737:Testis / Q000000981:diagnostic imaging / Q000473:pathology*; D014463:Ultrasonography