Isolated relapse of a lymphoblastic leukemia T cell precursor in the epididymis.
A 41-year-old man who had otherwise asymptomatic right scrotal swelling presented to our urology clinic. He had been diagnosed with T cell precursor lymphoblastic leukemia/lymphoma 2 years previously. On examination, his right epididymis was enlarged. A regular, homogeneous, slightly hypoechoic solid mass was observed at the right caput epididymis. This testicular mass measured approximately 7×11×12 mm. Leukemia and lymphoma appear in a variety of locations throughout the body, but an isolated relapse involving the epididymis is rare. Epididymectomy was performed which naturally removed the patient's right-sided sperm duct system. Especially in the younger age group epididymal masses can lead to fertility problems.
Department of Urology, Gülhane Military Medical Academy, Ankara, Turkey.
Emin Ozan
EO
Akay
Department of Urology, Gülhane Military Medical Academy, Ankara, Turkey.
Engin
E
Kaya
Department of Urology, Gülhane Military Medical Academy, Ankara, Turkey.
Giray
G
Ergin
Department of Urology, Gülhane Military Medical Academy, Ankara, Turkey.
Turgay
T
Ebiloğlu
Department of Urology, Gülhane Military Medical Academy, Ankara, Turkey.
Koray
K
Erten
Department of Pathology, Gülhane Military Medical Academy, Ankara, Turkey.
Mehmet Salih
MS
Deveci
Department of Hematology, Gülhane Military Medical Academy, Ankara, Turkey.
Oral
O
Nevruz
Department of Urology, Gülhane Military Medical Academy, Ankara, Turkey.
İbrahim Yaşar
İY
Özgök
Epididymis; leukemia; lymphoma