A Rare Case of Testicular Plasmacytoma as First Presentation in a Monorchid Patient Without Previous History of Multiple Myeloma: Diagnosis, Management and Review of Literature

Carmelo Agostino Di Franco, Sandro Bellavia, Carmela Emmanuele, Genziana Buttafuoco, Francesco Failla, Enrico Grimaldi, Leonardo Lizzio, Emilio Malacasa, Tommaso Torre, Giuseppe Restivo, Francesca Maria Di Franco, Lavinia Galvagno, Giovanni Bologna


Testicular plasmacytoma is a rare disease with few described cases in literature since 1939 when the first case was described. Testicular plasmacytoma can occur as first presentation disease or in multiple myeloma relapse. We report a case of a monorchid asymptomatic 70-year-old patient without previous multiple myeloma diagnosis with incidental discovery of right testicular mass who presented with rapid worsening of myeloma-related symptoms immediately after orchifunicolectomy. Diagnosis was made in our urology department and patient was referred to hematologist for continued therapy. We will discuss the case and review the literature.

World J Nephrol Urol. 2023;12(1):11-16
doi: https://doi.org/10.14740/wjnu441


Testis cancer; Testicular plasmacytoma; Testis myeloma; Metastasis; Testis metastasis

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World Journal of Nephrology & Urology, quarterly, ISSN 1927-1239 (print), 1927-1247 (online), published by Elmer Press Inc.                     
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