Testicular mass in an elderly patient: a rare presentation of Hodgkin's lymphoma.
A testicular mass in an elderly man has a high probability of being a lymphoma. However, when the pathologist is faced with a neoplastic lymphoid infiltrate in the testes, one rarely considers Hodgkin's lymphoma as a possibility, as a vast majority turn out to be diffuse large B cell lymphomas. The authors discuss the second case of Hodgkin's lymphoma, nodular sclerosis subtype, presenting as a painless enlarged testicle and associated symptoms similar to irreducible hernia in a 73-year-old gentleman. The patient was later found to have subdiaphragmatic lymph node disease. Hodgkin's lymphoma should therefore be given due consideration in the differential diagnosis of a testicular tumour with a predominantly lymphoid infiltrate.
Department of Histopathology, St. James University Hospital, Leeds, UK. noel.b.gatt@gmail.com
Noel
N
Gatt
Sharon
S
Falzon
James
J
DeGaetano
Joseph M
JM
Deguara
D000368:Aged; D006689:Hodgkin Disease / Q000473:pathology*; D006801:Humans; D008297:Male; D013736:Testicular Neoplasms / Q000473:pathology*