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. 2013 Sep;39(3):198-200.
doi: 10.5152/tud.2013.040.

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

Emin Ozan Akay  1 , Engin Kaya  1 , Giray Ergin  1 , Turgay Ebiloğlu  1 , Koray Erten  1 , Mehmet Salih Deveci  2 , Oral Nevruz  3 , İbrahim Yaşar Özgök  1
Affiliations

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

Emin Ozan Akay et al. Turk J Urol. 2013 Sep.

Abstract

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.

Keywords: Epididymis; leukemia; lymphoma.

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Figures

Figure 1.
Figure 1.
Epididymectomy material
Figure 2a.
Figure 2a.
Epididymal leukemic infiltration (HE ×200)
Figure 2b.
Figure 2b.
Leukemic cells stained with terminal deoxynucleotidyl transferase (TdT)
See this image and copyright information in PMC

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