Bilateral synchronous testicular lymphoma is an uncommon presentation of no
n-Hodgkin's lymphoma. A young man with non-Hodgkin's lymphoma of both teste
s synchronously is described here. He underwent bilateral orchiectomy, rece
ived chemotherapy, and was in complete remission when there was a relapse i
n the kidneys. Salvage chemotherapy was given. The patient developed progre
ssion of the residual lesion subsequently and was started on palliation wit
h chlorambucil and prednisolone. He was alive at 34 months after diagnosis
with disease.