PRIMARY GRANULOCYTIC SARCOMA OF THE TESTIS

An unusual case of a 44-year-old patient with primary left testicular granulocytic sarcoma is presented, Iliac and paraortic lymph node invo lvement was also demonstrated at staging laparotomy. The patient was t reated with left orchiectomy and early intensive chemotherapy, but rel apsed with a right testicular mass 14 months later. No evidence of leu kemic progression was found at that time, and he was treated with righ t orchiectomy, combined with irradiation to the scrotum, inguinal, ili ac and paraortic lymph nodes. Unfortunately, he developed myelogenous leukemia 7 months later. A complete remission of 6 months duration was achieved with combination chemotherapy. The patient then relapsed, an d an effort to induce a second remission was unsuccessful. He eventual ly died almost 3 years after initial diagnosis. We conclude that prima ry granulocytic sarcoma represents a systemic disease. Despite early i ntensive treatment its prognosis remains poor.