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

Abstract

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.