Isolated relapse of a lymphoblastic leukemia T cell precursor in the epididymis

• Published in: Turkish journal of urology Vol. 39; no. 3; pp. 198 - 200
• Main Authors: Akay, Emin Ozan, Kaya, Engin, Ergin, Giray, Ebiloglu, Turgay, Erten, Koray, Deveci, Mehmet Salih, Nevruz, Oral, Ozgok, Ibrahim Yasar
• Format: Journal Article
• Language: English
• Published: Turkish Association of Urology 01-09-2013
• Subjects: Urooncology
• ISSN: 1300-5804; 2149-3235; 1308-4631; 2149-3057
• DOI: 10.5152/tud.2013.040

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.