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Year : 2013  |  Volume : 5  |  Issue : 1  |  Page : 39-41

Primary testicular plasmocytoma: A five year follow-up

Grajaú Hospital Urological Clinic, Grajaú Hospital, Rua Francisco Otávio Pacca, 180, Grajaú, São Paulo, SP, Brazil

Correspondence Address:
Milton Ghirelli Filho
Rua das Laranjeiras, N. 369, Apt. 54, Bairro Jardim, Santo André - SP
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DOI: 10.4103/0974-7796.106965

PMID: 23662009

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The testicular plasmocytoma represents only 5% of the non-germinative cell testicular tumors, and accounts for only 2% of all plasma cell neoplasms. Approximately, 50 cases of testicular plasmocytoma have been reported in medical literature; however, only 9 of these are isolated tumors without previous history or progression to multiple myeloma. A 47-year-old patient, presenting progressive and painless growth of the right testicle in the last four years, underwent surgical treatment in another hospital two years ago, to correct a hydrocele in the same testicle with no improvement at all. Sonography showed a tumor with the following measurements for the right testicle: 84 × 59 × 80 mm. The tumor marker values were all normal. An abdominal computed tomography found no evidence of retroperitoneal lymph nodes invasion. The patient underwent a right radical orchiectomy. Pathologic analysis revealed a malignant neoplasia described as a plasmocytoma (solitary myeloma) that produces immunoglobulin's kappa light chain. After five years of follow-up, there were no signs of metastasis or local recurrence in the exams. Case report and review of literature have been presented here.

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