Idrocele bilaterale. Inusuale modalità di presentazione clinica del linfoma primitivo del testicolo in età avanzata. Bilateral hydrocele. Uncommon clinical presentation of primary testicular lymphoma in the elderly
Primary testicular lymphoma (PLT) represents 5% of testis tumors, the incidence increases in patients older than 60 years of age. Bilateral hydrocele is an unusual clinical presentation. Relapse in the central nervous system and in the contralateral testis is often observed. The US shows hypoechoic nodular lesions with a complete structural involvement of didymus and hypervascularization at Color Doppler. Orchiectomy should be performed in all cases as it is indispensable for the histopathological diagnosis and to characterize the immunophenotypic features.