摘要
Background: Burkitt’s lymphoma of the testis (TBL) is a rare and extremely aggressive malignant usually diagnosed in front of a testicular mass. We describe an interesting single case of TBL managed by a combined multimodal approach with a review of the literature. Case Report: A patient aged 69-year-old male, newly hypertensive, who presented with a twelve-month history of right testis progressive painful scrotal swelling, which worsens following a motorbike accident. Clinical examination revealed a large tender mass in an erythematous right scrotal bursa. A scrotal ultrasound showed a right heterogenous intra-testicular mass. The patient underwent unilateral (right) radical orchiectomy. Histopathological examination revealed presence of monomorphic lymphoid cells, with moderate to increased size, dissociated inconstantly by macrophages consistent with a Burkitt’s-like non-Hodgkin Lymphoma. After surgery, the patient was transferred to oncologist for adjuvant chemotherapy. Conclusion: A testicular mass is a usual circumstance for the discovery of a primary tumour of the testicle. Burkitt’s testicular lymphoma is a rare tumour whose diagnosis is based on histological findings. There are non-consensual etiological or predisposing factors. The treatment depends imperatively on the stage of the disease. Therapeutic modalities relay on in surgical excision, chemotherapy and radiation therapy but the accurate procedures are not standardized.
Background: Burkitt’s lymphoma of the testis (TBL) is a rare and extremely aggressive malignant usually diagnosed in front of a testicular mass. We describe an interesting single case of TBL managed by a combined multimodal approach with a review of the literature. Case Report: A patient aged 69-year-old male, newly hypertensive, who presented with a twelve-month history of right testis progressive painful scrotal swelling, which worsens following a motorbike accident. Clinical examination revealed a large tender mass in an erythematous right scrotal bursa. A scrotal ultrasound showed a right heterogenous intra-testicular mass. The patient underwent unilateral (right) radical orchiectomy. Histopathological examination revealed presence of monomorphic lymphoid cells, with moderate to increased size, dissociated inconstantly by macrophages consistent with a Burkitt’s-like non-Hodgkin Lymphoma. After surgery, the patient was transferred to oncologist for adjuvant chemotherapy. Conclusion: A testicular mass is a usual circumstance for the discovery of a primary tumour of the testicle. Burkitt’s testicular lymphoma is a rare tumour whose diagnosis is based on histological findings. There are non-consensual etiological or predisposing factors. The treatment depends imperatively on the stage of the disease. Therapeutic modalities relay on in surgical excision, chemotherapy and radiation therapy but the accurate procedures are not standardized.
作者
Junior Bathelemy Mekeme Mekeme
Jean Cedrick Fouda
Philip Fernandez Owono Abessolo
Axel Nwaha Makon
Marcella Delboise Biyouma
Georges Kemegni
Atenguena
Christian Awoundja
Marcel Junior Mekeme Yon
Ngapagna
Paul Adrien Atangana
Pierre Ongolo Zogo
Etoundi Paul Owono
Pierre Joseph Fouda
Angwafo III Fru
Junior Bathelemy Mekeme Mekeme;Jean Cedrick Fouda;Philip Fernandez Owono Abessolo;Axel Nwaha Makon;Marcella Delboise Biyouma;Georges Kemegni; Atenguena;Christian Awoundja;Marcel Junior Mekeme Yon; Ngapagna;Paul Adrien Atangana;Pierre Ongolo Zogo;Etoundi Paul Owono;Pierre Joseph Fouda;Angwafo III Fru(Faculty of Medicine and Biomedical Sciences of the University of Yaoundé 1, Yaoundé, Cameroon;Urology and Andrology Unit, Yaoundé Central Hospital, Yaoundé, Cameroon;Faculty of Medicine and Pharmacological Sciences, University of Douala, Douala, Cameroon;Laboratory of Anatomy, and Cytologic Pathology of Yaoundé Centre Paster, Yaoundé, Cameroon)
