An extramedullary plasmacytoma in the testicle: A case report and review of the literature

Authors

  • Kathy Lue University of South Florida Morsani College of Medicine
  • Justin B Emtage Department of Urology, University of South Florida, Tampa, FL
  • Maria Ana Pariñas Department of Nursing, Florida Hospital Tampa, Tampa, FL
  • Jasreman Dhillon Department of Anatomic Pathology, Genitourinary, Moffitt Cancer Center, Tampa, FL
  • Julio Pow-Sang Department of Genitourinary Oncology, Moffitt Cancer Center, Tampa, FL

DOI:

https://doi.org/10.5489/cuaj.2531

Keywords:

multiple myeloma, extramedullary plasmacytoma, testicular cancer, orchitis

Abstract

We present a rare case of testicular extramedullary plasmacytoma (EMP) in a 43-year-old man with multiple myeloma and diffuse systemic involvement refractory to chemotherapy. Multiple myeloma is typically found within the bone marrow and rarely involves other organs and sites. EMPs are most frequently associated with the head and neck region, but in rare cases testicular involvement have been seen. These mimic other causes of testicular swelling and therefore require a full diagnostic workup and management similar to that of any scrotal pathology. Radical inguinal orchiectomy is the treatment of choice with the addition of adjunct or salvage radiation therapy if necessary. The prognosis with these lesions is poor and in cases of primary testicular plasmacytoma, progression to multiple myeloma is likely.

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Author Biographies

Kathy Lue, University of South Florida Morsani College of Medicine

BS, MS4, University of South Florida Morsani College of Medicine

Justin B Emtage, Department of Urology, University of South Florida, Tampa, FL

MD, Department of Urology

Maria Ana Pariñas, Department of Nursing, Florida Hospital Tampa, Tampa, FL

BScN, RN, Department of Nursing

Jasreman Dhillon, Department of Anatomic Pathology, Genitourinary, Moffitt Cancer Center, Tampa, FL

MD, Department of Anatomic Pathology

Julio Pow-Sang, Department of Genitourinary Oncology, Moffitt Cancer Center, Tampa, FL

MD, Department of Genitourinary Oncology

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Published

2015-04-13

How to Cite

Lue, K., Emtage, J. B., Pariñas, M. A., Dhillon, J., & Pow-Sang, J. (2015). An extramedullary plasmacytoma in the testicle: A case report and review of the literature. Canadian Urological Association Journal, 9(3-4), E240–2. https://doi.org/10.5489/cuaj.2531

Issue

Section

Case Report

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