PRIMARY NON-HODGKINS-LYMPHOMA OF THE MALE URETHRA - A CASE-REPORT ANDREVIEW OF THE LITERATURE

Approximately 15-25% of malignant non-Hodgkin's lymphomas (NHLs) are p rimarily extranodal and only 2.7% of these are located in the genitour inary tract. Only a few particular cases of primary manifestation of N HL in the urethra have been described, most of them in female patients , whereas a secondary involvement occurs more frequently. In the prese nt case a high-grade malignant NHL of the B-cell type was located in t he urethra of a 29-year-old male patient. No other manifestations of N HL could be found. After surgical removal of the urethral neoplasm the patient was treated with combined chemotherapy (6 cycles of the CHOP scheme). Thereafter, reconstruction of the urethra by the island flap method of Duckett was carried out. Two years after diagnosis the patie nt is alive and in complete remission with good functional and cosmeti c results of surgery and a normal sexual life.