Case reportUnilateral testicular mass in man with chronic myelomonocytic leukemia: Unusual presentation of chronic myelomonocytic leukemia sequela
Section snippets
Case report
A 79-year-old man presented to the uro-oncology clinic with a 5-week history of a left testicular mass. Two years previously, he had been diagnosed with chronic myelomonocytic leukemia on a bone marrow aspirate performed for investigation of recurrent epistaxis and thrombocytopenia. He also had a long-standing diagnosis of beta-thalassemia trait. On examination, he had a hard irregular mass arising in his left testis with no palpable lymphadenopathy or organomegaly.
Ultrasound examination of his
Comment
EMCTs are solid tumors composed of infiltrating cells of myeloid lineage.1 They are rarely associated with myelodysplastic/myeloproliferative disease, in which they usually herald the onset of blastic transformation.2 More commonly, they are associated with acute myelogenous leukemia, either as a first presentation or as a relapse after treatment. EMCTs can involve any organ, but preferentially occur in the skin, lymph nodes, gastrointestinal tract, and orbit.
Fewer than 12 cases of EMCT
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