Unusual Presentation of a Testicular Lymphoma Mimicking a Missed Testicular Torsion:A Case Report

Author: Mi Jin KIM ¹ ; Young Hwan LEE ; Youe Ree KIM
Author Information

1. Department of Radiology, Wonkwang University College of Medicine, Wonkwang University Hospital, Iksan, Korea
Publication Type:Case Report
From:Journal of the Korean Radiological Society 2021;82(5):1287-1291
CountryRepublic of Korea
Language:English
Abstract: Testicular lymphoma is an uncommon testicular tumor that usually presents as a painless mass. It usually shows hypervascularity on color Doppler ultrasound (US) and a mild enhancement on enhanced CT or MRI. We present an unusual case of a testicular lymphoma mimicking a missed testicular torsion in a 67-year-old male patient with right scrotal swelling and intermittent pain for 2 months. Color Doppler US demonstrated the absence of vascularity in the enlarged right testis, and the initial diagnosis was a missed testicular torsion. CT demonstrated a poorly enhancing mass rather than a missed testicular torsion with enhanced small nodular foci at the periphery. The final pathological diagnosis was testicular lymphoma.