Is there a role for orchiectomy in a patient with stage IV DLBCL who presents with a testicular mass?
The patient was started immediately on chemotherapy due to gastric bleed and scrotal irradiation is planned.
Answer from: Radiation Oncologist at Academic Institution
Primary testicular lymphoma, almost always DLBCL, is primarily a disease of older men. The typical presentation is an enlarging testicular mass. Patients are referred to Urology, an orchiectomy performed, and the diagnosis is confirmed. The patient then undergoes a PET-CT for staging. Many patients ...