A painful, enlarged left hemiscrotum

Ioanna Klapa, Ourania Preza, Aristeidis Antoniou

Abstract


A 16-year-old male adolescent presented with a 1-month history of mildly painful swelling on the left hemiscrotum. The onset of the symptoms was insidious. The patient had no other clinical manifestations. Physical examination showed a palpable mass of approximately 8 cm in diameter on the left side of the scrotum. There were no palpable inguinal lymph nodes. Medical history was unremarkable. Tumour serum markers and laboratory findings were normal. Ultrasound (US) was performed initially; the patient referred to magnetic resonance imaging (MRI) due to inconclusive US findings. US and MRI of the scrotum are shown below. 


Keywords


rhabdomyosarcoma; scrotum; US; MRI

Full Text:

PDF

References


Ferrari A, Bisogno G, Casanova M, et al. Paratesticular rhabdomyosarcoma: report from the Italian and German Cooperative Group. J Clin Oncol 2002; 20(2): 449-455.

Reeves HM, MacLennan GT. Paratesticular rhabdomyosarcoma. J Urol 2009; 182(4): 1578-1579.

Dangle PP, Correa A, Tennyson L, et al. Current management of paratesticular rhabdomyosarcoma. Urol Oncol 2016; 34(2): 84-92.

Kumar R, Kapoor R, Khosla D, et al. Paratesticular rhabdomyosarcoma in young adults: A tertiary care institute experience. Indian J Urol 2013; 29(2): 110-113.

Wang HL, Liu LY, Tian RH, et al. Embryonal rhabdomyosarcoma of the epididymis presenting as epididymitis: A case report. Mol Clin Oncol 2016; 4(4): 625-627.

Bouchikhi AA, Mellas S, Tazi MF, et al. Embryonic paratesticular rhabdomyosarcoma: a case report. J Med Case Rep 2013; 7:93. doi: 10.1186/1752-1947-7-93.

Nicola R, Menias CO, Dahiya N, et al. Review of paratesticular pathology: findings on ultrasound and MRI. Abdom Radiol (NY) 2017; 42(2): 585-601.

Mason BJ, Kier R. Sonographic and MR imaging appearances of paratesticular rhabdomyosarcoma. AJR Am J Roentgenol 1998; 171(2): 523-524.

Boudahna L, Benbrahim Z, Amaadour L, et al. Para testicular rhabdomyosarcoma in adults: three case reports and review of literature. Pan Afr Med J 2014; 19: 279. doi: 10.11604/pamj.2014

Seitz G, Fuchs J, Martus P, et al. Outcome, treatment, and treatment failures in patients suffering localized embryonal paratesticular rhabdomyosarcoma: Results from the “Cooperative Weichteilsarkom Studiengruppe” trials cws-86, -91, -96, and-2002p. Ann Surg 2016; 264(6): 1148-1155.


Refbacks

  • There are currently no refbacks.