Testicular Burkitt’s Lymphoma: A Case Report and Literature Review

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
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Abstract

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.
睾丸伯基特淋巴瘤1例报告及文献复习
背景:伯基特睾丸淋巴瘤(TBL)是一种罕见且极具侵袭性的恶性肿瘤,通常在睾丸肿块前诊断。我们描述了一个有趣的单一病例TBL管理结合多模式的方法与文献回顾。病例报告:患者69岁男性,新高血压,谁提出了12个月的历史右睾丸进行性疼痛阴囊肿胀,在摩托车事故后恶化。临床检查发现右阴囊囊内有一个大的柔软肿块。阴囊超声显示右侧睾丸内肿块。患者行单侧(右侧)根治性睾丸切除术。组织病理学检查显示存在单形淋巴细胞,大小中等至增大,被巨噬细胞不稳定地分离,与伯基特样非霍奇金淋巴瘤一致。手术后,患者转至肿瘤科进行辅助化疗。结论:睾丸肿块是发现睾丸原发肿瘤的常见情况。伯基特睾丸淋巴瘤是一种罕见的肿瘤,其诊断是基于组织学结果。有非自愿的病因或易感因素。治疗方法完全取决于疾病的分期。治疗方式依赖于手术切除、化疗和放疗,但准确的程序尚未标准化。
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