title: An unusual presentation of extramedullary plasmacytoma in testis and review of the literature.
abstract: Extramedullary plasmacytoma is a rare plasma cell neoplasm, and it is extremely uncommon in the testicles. We report a 73-year-old man with multiple myeloma presented with testicular plasmacytoma. He complained of left leg pain and scrotal swelling. Ultrasonography revealed testicular masses. Pathologic examination of the orchiectomy specimen showed plasmocytoma with kappa expression. Multiple lytic bone lesions were seen in bone survey scans, serum immunoelectrophoresis and bone marrow aspiration aided to the diagnosis of multiple myeloma. He received chemotherapy, melphalan and prednisolone, and palliative radiotherapy. He succumbed to disease after 8 months.
authors.affiliation: Department of Clinical Oncology, Faculty of Medicine, Gaziantep University, Gaziantep, 27310, Turkey. turk@gantep.edu.tr
authors.forename: H Mehmet
authors.initials: HM
authors.lastname: Turk
authors.forename: Seref
authors.initials: S
authors.lastname: Komurcu
authors.forename: Ahmet
authors.initials: A
authors.lastname: Ozet
authors.forename: Okan
authors.initials: O
authors.lastname: Kuzhan
authors.forename: Omer
authors.initials: O
authors.lastname: Günhan
mesh_terms: D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D009101:Multiple Myeloma / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D009919:Orchiectomy; D010954:Plasmacytoma / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D011379:Prognosis; D011879:Radiotherapy Dosage; D013736:Testicular Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000628:therapy