The most common primary testicular tumor in men older than 50 years is testicular lymphoma. This is 84 year old man post operative status for testicular lymphoma showing bilateral adrenal masses and retroperitoneal lymphnodes suggesting possible relapse. Follicular lymphoma is the most frequently reported type of primary testicular lymphoma in the pediatric age group, whereas diffuse large B-cell lymphoma accounts for 80% to 90% of cases in adults. Computerized tomography of the head, chest, abdomen and pelvis are required for staging and knowing extranodal involvement. Testicular NHL has shown tendencies to relapse in central nervous system (CNS), contra lateral testis and, less commonly, lung, skin, bone, adrenal glands, liver, gastrointestinal tract and nodal sites.
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