Case report: Paratesticular rhabdomyosarcoma — Colour Doppler appearances

Wood, A. J.; Dewbury, K. C.

doi:10.1016/s0009-9260(05)82999-x

Cited by 15 publications

(6 citation statements)

References 10 publications

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“…On ultrasound, a non-specific mass is seen with a heterogeneous pattern. Rhabdomyosarcoma spreads via lymphatic and blood vessels and through local invasion [29]. Benign cystic lesions of the epididymis and testes are seldom in childhood, and do not differ from those lesion found in adults [30].…”

Section: Rhabdomyosarcomamentioning

confidence: 99%

Imaging of the scrotum in children

et al. 2004

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Clinical examination of the scrotum is difficult due to the small size of the testes and the epididymis in infants and young children, and eliciting patients' history is challenging. Therefore imaging of the scrotum in childhood bears great importance. Ultrasound is the standard imaging technique of choice providing the clinicians with a definitive diagnosis in most cases. However, in conditions of testicular torsion and epididymoorchitis--the most common differential diagnosis of scrotal pain--ultrasound findings can be inconclusive and further evaluation is required. Since there is a large overlap between paediatric and adult pathology, differences from adults in anatomy and pathology must be considered when evaluating the paediatric scrotum.

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Section: Rhabdomyosarcomamentioning

confidence: 99%

Imaging of the scrotum in children

et al. 2004

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“…Scrotal color Doppler ultrasonography is the initial imaging modality for evaluating intrascrotal pathology, but color Doppler appearances of paratesticular RMS could lead to confusion with epididymitis, adenomatoid tumor, and leiomyoma. [ 14 , 15 ] In 1995, Wood and Dewbury [ 14 ] first reported the Doppler ultrasound features of paratesticular RMS in a 17-year-old boy. They described a highly reflective soft-tissue epididymal mass, with increased vascularity on color Doppler, which they first considered to be epididymitis.…”

Section: Discussionmentioning

confidence: 99%

Alveolar paratesticular rhabdomyosarcoma mimicing epididymitis

Lei

Zhen

et al. 2018

Medicine

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Rationale:Most patients with paratesticular rhabdomyosarcoma may typically present as a unilateral, painless palpable scrotum mass. However, only a few cases of RMS presenting as painful edema of the scrotum mimicing epididymitis. We herein report an unusual case of alveolar paratesticular rhabdomyosarcoma misdiagnosed as epididymitis.Patient concerns:A 19-year-old adolescent, presented to urologist with painful swelling of the scrotum on the left side over the preceding several days. Antibiotics were administered by physician for two months and the pain improved, but the swelling did not fade.Diagnoses:Alveolar praratesticular rhabdomyosarcoma.Interventions:A left, soft tissue mass in the scrotum without definite metastasis or lymphadenopathy was confirmed by computed tomography (CT) and magnetic resonance imaging. A radical left orchiectomy via the inguinal approach was performed successfully.Outcome:The patient received 8 cycles of adjuvant chemotherapy, the patient remains recurrence- and metastasis-free at 13 months after surgery.Lessons:When paratesticular RMS is presenting with symptoms of epididymitis, this malignant tumor is usually overlooked. When patients complain of painful scrotal swelling, RMS arise from paratesticular tissue should be considered.

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“…This imaging modality shows a mass with heterogeneous echogenicity and inguinoscrotal extension in 80% of the cases (8). Wood and Dewbury reported a case in which ultrasonography revealed increased epididymal and testicular blood flow, consistent with epididymo-orchitis (9). A thoraco-abdomino-pelvic CT scan is usually performed to evaluate lymph node and distant metastases.…”

Section: Discussionmentioning

confidence: 99%

Embryonal rhabdomyosarcoma of the epididymis presenting as epididymitis: A case report

Wang

Liu

Tian

et al. 2016

Molecular and Clinical Oncology

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Abstract. Paratesticular rhabdomyosarcoma (RMS) is an extremely rare malignancy in adults, accounting for 7% of all RMS cases and 6% of all non-germinal intrascrotal tumors. The clinical signs are similar to those of a hydrocele or testicular tumor, typically presenting as a unilateral, painless mass in the inguinal canal or scrotum. No specific serum markers are currently available for this tumor. RMS of the epididymis is extremely rare. Particularly when it is associated with epididymitis, this malignancy is usually overlooked. We herein present a case of epididymal embryonal RMS, manifesting an painful scrotal edema, misdiagnosed as epididymitis. The patient received 3 cycles of adjuvant chemotherapy postoperatively and remained disease-free after 4 years of follow-up.

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Case report: Paratesticular rhabdomyosarcoma — Colour Doppler appearances

Cited by 15 publications

References 10 publications

Imaging of the scrotum in children

Imaging of the scrotum in children

Alveolar paratesticular rhabdomyosarcoma mimicing epididymitis

Embryonal rhabdomyosarcoma of the epididymis presenting as epididymitis: A case report

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