Bilateral Malignant Non-Hodjkin's Lymphoma Metastatic of the Testis: A Case Report and Review of the Literature

Primary non-Hodgkin’s malignant lymphoma (NHML) of the testis is common in older men and is rare, accounting for between 1 and 9% of testicular tumors. The most common clinical manifestation is a painless unilateral testicular swelling but bilateral involvement is observed in about 35% of patients. We present a 61 year old patient with a history of right orchiectomy 7 months ago. He consulted us with a left testicular pain that was 4 months old. Clinical examination of the patient revealed a large hard left bursa and inguinal adenopathy. Given the patient’s history, the clinical picture, and the lack of additional immunostaining from the anatomical study, a further workup revealed a LMNH of high grade of metastatic germ cell type “B”. After RCP, the patient was refered to oncology.