Advertisement

Blut

, Volume 60, Issue 6, pp 328–330 | Cite as

Extramedullary plasmacytoma of the testicle

Sonographic appearance and ultrasonically guided biopsy
  • L. Cavanna
  • F. Fornari
  • G. Civardi
  • M. Di Stasi
  • G. Sbolli
  • R. Foroni
  • F. Voltolini
  • L. Buscarini
Original article

Summary

Extramedullary plasmacytomas of the testis are extremely rare. This is a report of a patient with plasmacytoma of the testicle who also had an extramedullary plasmacytoma of the epipharynx 12 months earlier. Sonography (US) scans showed a heterogenous mass of the right testicle with hypoechoic echo pattern; ultrasonically guided fine-needle aspiration biopsy (UGFNAB) allowed confirmation of the diagnosis. Immunoperoxidase studies, performed on histologic specimen after a radical right orchiectomy showed a monoclonal staining pattern of intracellular immunoglobulin for IgA-K type. Bone marrow biopsy, skeletal X-ray and immunoelectrophoresis were all within normal limits. The patient was successfully treated by surgey and is still alive with no evidence of disease.

Key words

Sonography Ultrasound Testicular plasmacytoma Extramedullary plasmacytoma Ultrasonically guided biopsy 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Benson CB, Deligdish CK, Kevin RL (1987) Sonographic detection of testicular plasmacytoma. J Clin Ultrasound 15: 490–493Google Scholar
  2. 2.
    Buscarini L, Cavanna L, Fornari F, Rossi S, Buscarini E (1985) Ultrasonically guided fine-needle biopsy: a new useful technique in pathological staging of malignant lymphoma. Acta Haematol 73: 150–152Google Scholar
  3. 3.
    Buscarini L (1989) Ecografia operativa: applicazioni in ematologia. In: Buscarini L, Cavanna L (eds) Ecografia in Ematologia. Masson Italy Milano, pp 80–94Google Scholar
  4. 4.
    Cavanna L, Di Stasi M, Fornari F, Civardi G, Sbolli G, Buscarini E, Buscarini L (1987) Ultrasound and ultrasonically guided biopsy in hepatic lymphoma. Eur J Cancer Clin Oncol 3: 323–326Google Scholar
  5. 5.
    Cavanna L (1989) Testicoli. In: Buscarini L, Cavanna L (eds) Ecografia in Ematologia. Masson Italy, Milano, pp 27–29Google Scholar
  6. 6.
    Fruhling L, Chadli A (1963) Extra skeletal plasmacytic sarcoma. Ann Anat Pathol Paris 8: 317–76Google Scholar
  7. 7.
    Fukuya T, Yoshimitsu K, Kitagawa S, Murakani J, Masuda K, Nakamura K (1989) Plasmacytoma of the pancreatic head. Gastrointestinal Radiol 14: 226–228Google Scholar
  8. 8.
    Gale JT, Bowie JD, Barry SM (1987) Myeloma of the testicle: sonographic appearance. J Clin Ultrasound 15: 280–281Google Scholar
  9. 9.
    Lalardie BM, Marsot-Dupuchk (1985) Les lymphomes testiculaires en echographie. J Radiol 66: 125–129Google Scholar
  10. 10.
    Levin HS, Mostofi FK (1970) Symptomatic plasmacytoma of the testis. Cancer 25: 1193–1203Google Scholar
  11. 11.
    Lupetin AR, King W, Rich P, Lederman RB (1983) Ultrasound diagnosis of testicular leukemia. Radiology 146: 171–172Google Scholar
  12. 12.
    Oertel J, Oertel B, Kastner M, Lobeck H, Huhn D (1988) The value of immunocytochemical staining of lymph node aspirates in diagnostic cytology. Br J Haematol 70: 307–316Google Scholar
  13. 13.
    Siemers PT, Coel MN (1977) Solitary renal plasmacytoma with palisading tumor vascularity. Radiology 123: 597–598Google Scholar
  14. 14.
    Soumerai S, Gleason EA (1980) Asynchonous plasmacytoma of the stomach and testis. Cancer 45: 396–400Google Scholar
  15. 15.
    Steinberg D (1975) Plasmacytoma of the testis: report of a case. Cancer 36: 1470–1472Google Scholar
  16. 16.
    Tani EM, Christensson B, Porwit A, Skoog L (1988) Immunocytochemical analysis and cytomorphologic diagnosis on fineneedle aspirates of lymphoproliferative disease. Acta Cytol 32: 209–215Google Scholar
  17. 17.
    Wilshaw E (1976) The natural history of extramedullary plasmacytoma and its relation to solitary myeloma of bone and myelomatosis. Medicine 55: 217–238Google Scholar
  18. 18.
    Yang C, Motteram R, Sandeman T (1982) Extramedullary plasmacytoma of the bladder. A case report and review of literature. Cancer 50: 146–149Google Scholar

Copyright information

© Springer-Verlag 1990

Authors and Affiliations

  • L. Cavanna
    • 1
  • F. Fornari
    • 1
  • G. Civardi
    • 1
  • M. Di Stasi
    • 1
  • G. Sbolli
    • 1
  • R. Foroni
    • 2
  • F. Voltolini
    • 3
  • L. Buscarini
    • 1
  1. 1.Divisione Medica I°Ospedale Civile di PiacenzaPiacenzaItaly
  2. 2.Servizio Anatomia PatologicaOspedale Civile di PiacenzaPiacenzaItaly
  3. 3.Divisione Chirurgica II°Ospedale Civile di PiacenzaPiacenzaItaly

Personalised recommendations