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Primary testicular plasmocytoma: A five year follow-up.

Filho MG - Urol Ann (2013)

Bottom Line: The tumor marker values were all normal.An abdominal computed tomography found no evidence of retroperitoneal lymph nodes invasion.After five years of follow-up, there were no signs of metastasis or local recurrence in the exams.

View Article: PubMed Central - PubMed

Affiliation: Grajaú Hospital Urological Clinic, Grajaú Hospital, Rua Francisco Otávio Pacca, 180, Grajaú, São Paulo, SP, Brazil.

ABSTRACT
The testicular plasmocytoma represents only 5% of the non-germinative cell testicular tumors, and accounts for only 2% of all plasma cell neoplasms. Approximately, 50 cases of testicular plasmocytoma have been reported in medical literature; however, only 9 of these are isolated tumors without previous history or progression to multiple myeloma. A 47-year-old patient, presenting progressive and painless growth of the right testicle in the last four years, underwent surgical treatment in another hospital two years ago, to correct a hydrocele in the same testicle with no improvement at all. Sonography showed a tumor with the following measurements for the right testicle: 84 × 59 × 80 mm. The tumor marker values were all normal. An abdominal computed tomography found no evidence of retroperitoneal lymph nodes invasion. The patient underwent a right radical orchiectomy. Pathologic analysis revealed a malignant neoplasia described as a plasmocytoma (solitary myeloma) that produces immunoglobulin's kappa light chain. After five years of follow-up, there were no signs of metastasis or local recurrence in the exams. Case report and review of literature have been presented here.

No MeSH data available.


Related in: MedlinePlus

Microscopic aspect of the tumor of the patient in the case report
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Figure 2: Microscopic aspect of the tumor of the patient in the case report

Mentions: A 47-year-old patient, presenting with progressive and painless growth of the right testicle in the last four years, underwent surgical treatment in other hospital two years before to correct a hydrocele in the same testicle with no improvement. Sonography revealed a solid heterogeneous tumor in the right testicle with the following measurements: 84 × 59 × 80 mm (still with residual hydrocele). The tumor markers (alpha-fetoprotein, beta-Human chorionic gonadotropin [HCG] and lactate dehydrogenase [LDH]) values were all normal. An abdominal computed tomography found no evidence of retroperitoneal lymphnodes invasion. The patient underwent a right radical orchiectomy then [Figure 1]. Pathologic analysis revealed a malignant neoplasia described as a plasmocytoma (solitary myeloma) that produces immunoglobulin's kappa light chain [Figure 2]. After the surgery, the patient recovered well. After five years of follow-up there were no signs of metastasis or local recurrence in the examination.


Primary testicular plasmocytoma: A five year follow-up.

Filho MG - Urol Ann (2013)

Microscopic aspect of the tumor of the patient in the case report
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3643322&req=5

Figure 2: Microscopic aspect of the tumor of the patient in the case report
Mentions: A 47-year-old patient, presenting with progressive and painless growth of the right testicle in the last four years, underwent surgical treatment in other hospital two years before to correct a hydrocele in the same testicle with no improvement. Sonography revealed a solid heterogeneous tumor in the right testicle with the following measurements: 84 × 59 × 80 mm (still with residual hydrocele). The tumor markers (alpha-fetoprotein, beta-Human chorionic gonadotropin [HCG] and lactate dehydrogenase [LDH]) values were all normal. An abdominal computed tomography found no evidence of retroperitoneal lymphnodes invasion. The patient underwent a right radical orchiectomy then [Figure 1]. Pathologic analysis revealed a malignant neoplasia described as a plasmocytoma (solitary myeloma) that produces immunoglobulin's kappa light chain [Figure 2]. After the surgery, the patient recovered well. After five years of follow-up there were no signs of metastasis or local recurrence in the examination.

Bottom Line: The tumor marker values were all normal.An abdominal computed tomography found no evidence of retroperitoneal lymph nodes invasion.After five years of follow-up, there were no signs of metastasis or local recurrence in the exams.

View Article: PubMed Central - PubMed

Affiliation: Grajaú Hospital Urological Clinic, Grajaú Hospital, Rua Francisco Otávio Pacca, 180, Grajaú, São Paulo, SP, Brazil.

ABSTRACT
The testicular plasmocytoma represents only 5% of the non-germinative cell testicular tumors, and accounts for only 2% of all plasma cell neoplasms. Approximately, 50 cases of testicular plasmocytoma have been reported in medical literature; however, only 9 of these are isolated tumors without previous history or progression to multiple myeloma. A 47-year-old patient, presenting progressive and painless growth of the right testicle in the last four years, underwent surgical treatment in another hospital two years ago, to correct a hydrocele in the same testicle with no improvement at all. Sonography showed a tumor with the following measurements for the right testicle: 84 × 59 × 80 mm. The tumor marker values were all normal. An abdominal computed tomography found no evidence of retroperitoneal lymph nodes invasion. The patient underwent a right radical orchiectomy. Pathologic analysis revealed a malignant neoplasia described as a plasmocytoma (solitary myeloma) that produces immunoglobulin's kappa light chain. After five years of follow-up, there were no signs of metastasis or local recurrence in the exams. Case report and review of literature have been presented here.

No MeSH data available.


Related in: MedlinePlus