Objective:To analysis the ultrasonographic characteristics of primary testicular lymphoma(PTL).Methods:The gray scale and color Doppler ultrasonographic characteristics of 16 cases of PTL confirmed by surgery and pathology were an-alyzed retrospectively.Results:Sixteen cases of PTL were found,including 14 cases of diffuse large B-cell lymphoma,1 case of T-cell lymphoma,and 1 case of B-lymphoblastic lymphoma.Of the 16 cases examined by gray scale ultrasound,11 cases were diffuse hypoechoic and 5 cases were nodular hypoechoic.The internal echo was uniform in 4 cases and uneven in 12 cases.Four cases had clear boundary,and 12 cases had unclear boundary.The epididymis was involved in 3 cases,and spermatic cord was involved in 2 cases.The inguinal and retroperitoneal lymph node enlargement was shown in 1 case.Color Doppler ultrasound showed rich blood flow signals in diffuse type PTL(grade Ⅲ).In the nodular type,the blood flow signal was grade L in 1 case,grade Ⅱ in 2 cases,and grade Ⅲ in 2 cases.Straight blood vessel signs were showed in 9 of 16.Conclusion:The ultrasonic image of PTL has certain characteristics,and mastering its characteristics can improve the diag-nostic accuracy of PTL and provide more reliable information for clinic.