title: Diffuse large B cell lymphoma of the spermatic cord:  a case report and literature review.
abstract: Primary lymphoma of the spermatic cord is rare.  We report a case of primary lymphoma of the spermatic cord and review the literature.  A 77-year-old man presented with a 5 month history of an enlarging right inguino-scrotal mass.  On physical exam, the mass involved the spermatic cord.  Computerized tomography and magnetic resonance imaging revealed a 10 cm x 4 cm  inguinoscrotal mass related to the spermatic cord.  A right inguinal orchidectomy with wide local excision was performed.  Pathological and immunohistochemical evaluation identified the tumor as a diffuse large B cell lymphoma of the spermatic cord. Postoperatively, patient began a chemoradiotherapy regimen consistent with metastatic lymphoma.
authors.affiliation: Department of Urology, University of Miami Miller School of Medicine, Miami, Florida 33136, USA.
authors.forename: Shivam
authors.initials: S
authors.lastname: Joshi
authors.forename: Ahmed M
authors.initials: AM
authors.lastname: Mansour
authors.forename: Ahmed
authors.initials: A
authors.lastname: Eldefrawy
authors.forename: Mark S
authors.initials: MS
authors.lastname: Soloway
mesh_terms: D000368:Aged; D001707:Biopsy, Needle; D059248:Chemoradiotherapy / Q000379:methods; D003952:Diagnostic Imaging / Q000379:methods*; D005500:Follow-Up Studies; D005834:Genital Neoplasms, Male / Q000473:pathology* / Q000628:therapy; D006801:Humans; D007150:Immunohistochemistry; D016403:Lymphoma, Large B-Cell, Diffuse / Q000473:pathology* / Q000628:therapy; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D009367:Neoplasm Staging; D009919:Orchiectomy / Q000379:methods; D049268:Positron-Emission Tomography / Q000379:methods; D018570:Risk Assessment; D013085:Spermatic Cord / Q000473:pathology* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome