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Case Reports in Urology
Volume 2014, Article ID 762630, 3 pages
Case Report

Metachronous Bilateral Granulocytic Sarcoma of the Testis in a Young Adult: A Report of an Unusual Entity

1Department of Urology, Oncology Training and Research Hospital, Demetevler, 06530 Ankara, Turkey
2Department of Urology, Kilis State Hospital, Kilis, Turkey
3Department of Pathology, Kilis State Hospital, Kilis, Turkey
4Department of Pathology, Faculty of Medicine, Gaziantep University, Gaziantep, Turkey

Received 13 February 2014; Revised 20 April 2014; Accepted 22 April 2014; Published 6 May 2014

Academic Editor: Giorgio Carmignani

Copyright © 2014 Fatih Hızlı et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Granulocytic sarcomas are rare tumors composed of neoplastic blood cells, typically occurring during the course of acute nonlymphoblastic leukemia or before its onset. We present a case of a 23-year-old young adult man with metachronous granulocytic sarcoma of the testis without hematologic manifestations who was diagnosed with granulocytic sarcoma (GS). The patient was treated with right orchiectomy but relapsed with a left testicular mass 16 months later when a left orchiectomy was performed. The patient has been free of disease for 13 months following the left orchiectomy. This case highlights a rare hematologic cancer that urologists and pathologists should be aware of since it can present as a testicular mass. Only 3 cases of testicular GS without an associated hematologic disorder have been described. To the best of our knowledge, our patient is the first reported case in the English literature of metachronous GS of the testis with no evidence of hematologic disorder.