Striated pattern on scrotal ultrasonography: A marker for Non-hodgkins lymphoma of testis
A 52-year-old hypertensive male presented with progressively increasing painless, bilateral scrotal swellings of 6 months duration. Physical examination revealed a cachectic patient with moderately enlarged, uniformly firm testes with loss of testicular sensation on either side. Abdominal examination did not reveal any organomegaly. Basic biochemical investigations were normal. Serum alpha fetoprotein and beta human chorionic gonadotropin were normal. Serum lactate dehydrogenase was minimally elevated.\nUS of the scrotum showed striated pattern of both enlarged testicles []. Increased vascularity was seen in color Doppler study []. Chest X-ray and abdominopelvic computed tomography (CT) scan were normal. He underwent bilateral high inguinal orchidectomy. On the third post-operative day, he became unconscious and CT scan of the brain showed evidence of metastasis with mass effect. The patient expired on the same day.\nHistopathological examination and immunohistochemical staining (CD20 +ve, CD79 +ve, CD3 −ve, CD5 −ve) confirmed bilateral B-cell type NHL.