PMC3977168_01
Large-scale weeping and partly exulcerating tumor nodes with erythema at the back of the patient.
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Slow growing, partly ulcerating skin tumors had occurred three months prior to urologic presentation (Figure 1).
Computed tomography scan showing a testicular neoplasm on the left side.
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Dermatologists performed a diagnostic excision of the skin tumors, and a CT scan for staging revealed, in addition to the skin tumors, the presence of a suspect testicular mass of the left side (Figure 2).
Testicular parenchyma with a dense pleomorphic infiltration of cells (Haematoxylin and Eosin, 40x).
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CD30-positive T cell lymphoma (Figure 3). Considering the patient's medical history, the diagnosis of a transformed mycosis fungoides with a testicular metastasis as an extracutaneous manifestation in tumor stadium with organ manifestation (T3 N0 M1 according to Stadium IV A) was made.
Immunohistochemical proof of CD30+ cells (CD30 stain, 10x).
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CD30-positive T-cell lymphoma was made (Figure 4). Considering the clinical presentation, the histological results were in agreement with a transformed mycosis fungoides.