CASE REPORT

A 59-year-old Japanese man, without any notable past or familial medical history, was admitted to our hospital because of a painless right testicular mass. Abdominal and pelvic computed tomography (CT) revealed a 4.5 cm-sized mass in the right testicular parenchyma without evidence of ascites or nodal/distant metastasis. His interleukin-2 receptor level was 613 U/mL (normal range, 122 to 496 U/mL), and the levels of lactate dehydrogenase, α-fetoprotein, and human chorionic gonadotropin were within the normal limits. His white blood cell count on admission was 12.0 × 10³/μL with a lymphocyte percentage of 69.3% (absolute lymphocyte count, 8.3 × 10³/μL). No obvious anemia or thrombocytopenia was observed. Under the clinical diagnosis of a germ cell tumor or malignant lymphoma, right radical orchiectomy was performed.

The cut surface of the resected specimen showed a well-circumscribed, white-yellow and homogenous solid mass with no hemorrhage or necrosis measuring 5.0 × 4.0 × 2.9 cm in the testicular parenchyma (Fig. 1). Histologically, the tumor consisted of two components: a central multinodular component and a peripheral diffuse infiltrative component (Fig. 2A). The multinodular component was composed of large polygonal cells with clear cytoplasm and prominent nucleoli intermingled with lymphocytes (Fig. 2B). Around the nodular proliferation of polygonal tumor cells, dense infiltration of variously sized lymphocytes with multiple lymphoid follicles was observed. In contrast, the peripheral part of the tumor exhibited monotonous, diffuse infiltration of small lymphoid cells, focally involving the entire tunica albuginea (Fig. 2C). Immunohistochemically, the large polygonal cells were diffusely positive for octamer-binding transcription factor 4 (Oct-4), and scattered Oct-4–positive cells were detected in the peritumoral seminiferous tubules (Fig. 2D); these observations confirmed the diagnosis of seminoma and the corresponding GCNIS. No vascular permeation, invasion beyond the tunica albuginea, or spermatic cord invasion by the seminoma cells was observed (pathological T1).

The peripheral monotonous lymphoid cells were immunoreactive for CD20, CD79a, CD5, and CD23 and negative for CD3, CD21, CD10, and cyclin D1 (Fig. 2E, F). Kappa light chain restriction was detected during flow cytometry using the resected specimen. Considering that the patient’s circulating lymphoid cell count was > 5.0 × 10³/μL at admission, the peripheral component of the tumor was diagnosed as testicular involvement of CLL. Immunostaining for CD21 revealed a retained follicular dendritic-cell meshwork in the lymphoid stroma of the seminoma (Fig. 3A). The Ki67 labeling index in the lymphoid stroma of the seminoma was much higher than that in CLL (approximately 30% vs. < 5%) (Fig. 3B). These findings suggested that CLL was not intermixed with the lymphoid stroma of the seminoma; these two components existed exclusively within a single tumor mass. Postoperative fluorodeoxyglucose positron emission tomography/CT showed no obvious nodal lesions or mass-forming lesions within systemic organs. The patient required no additional therapy during follow-up, and remained alive and well, with no evidence of disease progression, recurrence, or metastases after 2 years.

DISCUSSION

A vast majority of primary testicular lymphoid neoplasms (80%–95%) are DLBCLs [2]. Previously reports of other rare histological types of malignant lymphoma included mantle cell lymphoma [9], testicular follicular lymphoma [10], extranodal marginal zone lymphoma [11], natural killer/T-cell lymphoma, nasal type [12], peripheral T-cell lymphoma (PTCL) [13], and activin receptor-like kinase-1-negative anaplastic large cell lymphoma [14]. On the other hand, testicular involvement of lymphoid leukemia has been described in some previous reports [7,8]. In a previous report reviewing 13,500 autopsy and 641 surgical specimens, seven cases with lymphoid leukemia secondarily involving the testis were detected; 6 were acute lymphoblastic leukemia (without information of B- or T-cell linage) and only one case was CLL [7]. Schniederjan and Osunkoya [8] identified 40 patients with lymphoid neoplasms of male urogenital organs. Of these, two were acute B-lymphoblastic leukemia in the testis and 4 were CLL in the prostate [8]. There have been a few reported cases of Richter syndrome, defined as the development of DLBCL in a patient with a previous or concomitant CLL/small lymphocytic lymphoma, with testicular involvement [15,16]. In the present report, we described an additional rare case of testicular involvement of CLL without progression to DLBCL.

The present case also showed the synchronous, concurrent CLL and seminoma in a single testicular tumor. There is no obvious pathophysiologic link or common risk factor between seminoma and CLL. Our literature review found a few rare examples of patients with synchronous seminoma and lymphoid neoplasms. All of these patients—including the present one—were aged more than 50 years [3–6]. Singh et al. [3] reported a case of synchronous classical Hodgkin lymphoma in the mediastinal/intraabdominal lymph nodes and right testicular seminoma. In another case, a huge pelvic mass and partially obstructed small intestine were simultaneously, but separately, resected, and histological examination of these two lesions revealed pure seminoma and DLBCL, respectively [4]. Jacobsen et al. [5] described a case of metastatic seminoma and concurrent follicular lymphoma, grade 1 in a supraclavicular lymph node. Only one case of concurrent seminoma and PTCL, NOS in the same testis has been reported [6]. Because of indolent clinical courses of CLL and seminoma, additional/adjuvant therapy was not administered for both tumors in the present case. However, concurrent management of the two different malignancies is usually necessary in these cases. An accurate pathological diagnosis is especially important for improving the patients’ clinical courses.

Concerning the large cell component of the present tumor, the presence of GCNIS and careful histological/immunohistochemical examination made it possible to distinguish the seminoma from other tumors including large cell lymphoid neoplasms (DLBCL, PTCL, and anaplastic large cell lymphoma) and solid-type non-seminomatous tumors (embryonal carcinoma and yolk sac tumor). However, when DLBCL is detected, surrounded by dense, small lymphocytic infiltration as in the present case, Richter syndrome should be considered during differential diagnosis [15,16]. On the other hand, differential diagnoses of the small cell component of the present tumor (i.e., CLL) include non-neoplastic, reactive lymphocytes and other mature small B-cell lymphomas, such as follicular lymphoma, mantle cell lymphoma, and extranodal marginal zone lymphoma. Of these, the most important differential diagnosis is small reactive lymphocytes infiltrating into the seminoma, which can be misdiagnosed as “two-cell pattern” of classic seminoma. Compared to small monotonous lymphoid tumor cells of CLL, lymphoid stroma intervening in seminoma cells is composed of various sizes of lymphocytes. In addition, reactive lymphocytes in seminoma sometimes exhibit lymphoid follicles with CD21-positive follicular dendritic-cell meshwork (Fig. 3A) and show much higher Ki67 labeling index than CLL (Fig. 3B). Finally, because immunohistochemical detection of the monoclonality of lymphoid cells without plasmacytic differentiation is sometimes challenging, light chain restriction detected by flow cytometry is useful for ruling out non-neoplastic, reactive lymphocytic infiltration. Our patient’s specific immunohistochemical findings (CD20+, CD3+, and CD23+) and a circulating lymphoid cell count of > 5.0 × 10³/μL supported the diagnosis of CLL rather than that of other mature small B-cell lymphomas.

In summary, we have described a case of isolated CLL with concurrent seminoma in the same testis. With respect to diagnostic and therapeutic aspects, this extremely rare combination should be kept in mind for both clinicians and pathologists.

Acknowledgments

Fig. 1

The cut surface of the resected specimen shows a white-yellow, solid mass measuring 5.0 cm in the right testicular parenchyma.

Fig. 2

(A) The scan image showing a central multinodular component (arrows) and peripheral diffuse infiltrative component (arrowheads). (B) The multinodular component comprises large polygonal cells with clear cytoplasm and prominent nucleoli intermingled with variously sized lymphocytes. (C) The peripheral component showing diffuse, dense infiltration of small lymphoid cells involving the entire tunica albuginea. Lymphoid cells with hyperchromatic and monotonous nuclei are noted (inset). (D) The large polygonal cells are diffusely positive for octamer-binding transcription factor 4 (Oct-4) (left), and scattered Oct-4–positive cells are detected in the seminiferous tubules (right). (E, F) Small, monotonous lymphoid cells are diffusely immunoreactive for CD20 (E, left), CD5 (F, left), and CD23 (F, right) and negative for CD3 (E, right).

Fig. 3

(A) Meshwork of CD21+ follicular dendritic cells is retained in the lymphoid stroma of the seminoma; it is absent in the chronic lymphocytic leukemia (CLL). (B) The Ki-67 labeling indices in the lymphoid stroma of the seminoma and CLL were approximately 30% and < 5%, respectively.

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