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KMID : 1103720210820051287
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Journal of the Korean Society of Radiology
2021 Volume.82 No. 5 p.1287 ~ p.1291
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Unusual Presentation of a Testicular Lymphoma Mimicking a Missed Testicular Torsion: A Case Report
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Kim Mi-Jin
Lee Young-Hwan
Kim Youe-Ree
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Abstract
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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.
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KEYWORD
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Testicular Neoplasms, Lymphoma, Non-Hodgkin, Testis, Spermatic Cord Torsion, Ultrasonography
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