Table of Contents    
CASE REPORT
 
Diffuse large B-cell lymphoma of tonsil and testis: unexpected metastatic sequence
Alexey Annenkov1, Ken Nishikura2, Yoichi Ajioka3, Motohiko Kimura4, Hisanobu Shimura5, Nobuhiko Nomoto6
1Research fellow, Division of Molecular and Diagnostic Pathology, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan
2Associate professor, Division of Molecular and Functional Pathology, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan
3Chairman, Division of Molecular and Diagnostic Pathology, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan
4MD, Department of Urology, Niigata Kobari Hospital, Niigata, Japan
5MD, Department of Urology, Niigata Kobari Hospital, Niigata
6MD, Department of Internal Medicine, Niigata Kobari Hospital, Niigata, Japan

doi:10.5348/ijcri-2010-09-2-RA-2

Address correspondence to:
Alexey Annenkov
Division of Molecular and Diagnostic Pathology
Niigata University Graduate School of Medical and Dental Science
Asahimachi-dori 1-757, Chuou-ku
Niigata, Japan.

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How to cite this article:
Annenkov A, Nishikura K, Ajioka Y, Kimura M, Shimura H, Nomoto N. Diffuse large B-cell lymphoma of tonsil and testis: unexpected metastatic sequence. IJCRI 2010;1(1):7-11.


Abstract
Introduction: Diffuse large B-cell lymphoma is the largest subtype of non-Hodgkin's lymphomas, and is characterized by frequent extranodal presentation. The most common extranodal locations of non-Hodgkin's lymphomas are: stomach, bone, liver and testis. Simultaneous detection of multiple extranodal involvements during consultation is quite uncommon, and the majority of cases are characterized by gastric or intestinal localization.
Case Report: This study has found an extranodal involvement of tonsil and testis by diffuse large B-cell lymphoma. Symptoms of tonsil lymphoma were seen one year before the same type of lymphoma appeared in the testis.
Conclusion: The clinical course, similarity in the histological findings and the immunoprofile between the two organs suggested a possibility of metastatic diffuse large B-cell lymphoma from the tonsil to testis, which would be the first reported case.

Key Words: Malignant lymphoma, Tonsil, Testis, Metastasis

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Author Contributions:
Alexey Annenkov - Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Ken Nishikura - Conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Critical revision of the article, Final approval of the version to be published
Yoichi Ajioka - Analysis and interpretation of data, Critical revision of the article, Final approval of the version to be published
Motohiko Kimura - Acquisition of data, Critical revision of the article, Final approval of the version to be published
Hisanobu Shimura - Acquisition of data, Critical revision of the article, Final approval of the version to be published
Nobuhiko Nomoto - Acquisition of data, Critical revision of the article, Final approval of the version to be published
Guarantor of submission:
The corresponding author is the guarantor of submission.
Source of support:
None
Conflict of interest:
The author(s) declare no conflict of interests
Copyright:
© Alexey Annenkov et al. 2010; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)