Open Access Case report

Embryonic paratesticular rhabdomyosarcoma: a case report

Ahmed Amine Bouchikhi*, Soufiane Mellas, Mohammed Fadl Tazi, Karim Lahlaidi, Youssef Kharbach, Khadija Benhayoune, Rajae Kanab, Jalal Eddine Elammari, Abdelhak Khallouk, Mohammed Jamal El Fassi and My Hassan Farih

Author Affiliations

Service d’Urologie, Centre Hospitalier Universitaire de Fès, Fès, Maroc

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Journal of Medical Case Reports 2013, 7:93  doi:10.1186/1752-1947-7-93

Published: 5 April 2013

Abstract

Introduction

An embryonic paratesticular rhabdomyosarcoma is a very rare mesenchymal tumor. It is an intrascrotal tumor that is localized in paratesticular structures such as the epididymis or spermatic cord. Rhabdomyosarcoma is most often observed in children and adolescents, presenting as a painless scrotal mass.

Case presentation

Our patient was an 18-year-old Moroccan man who presented with a painless left scrotal mass that had evolved over four months. An inguinal orchiectomy was performed. A histological examination of the excised tissue revealed an embryonic rhabdomyosarcoma.

Our patient had three sessions of chemotherapy with vincristine, actinomycin C and cyclophosphamide. Each chemotherapy session was conducted over five days, with a cycle of 21 days. Our patient was assessed two months after the last chemotherapy session and demonstrated good clinical improvement.

Conclusion

Paratesticular rhabdomyosarcoma is a rare aggressive tumor manifesting in children and very young adults. Localized forms have a good prognosis whereas metastatic tumors show very poor results. A well-defined treatment based on surgery and chemotherapy yields good results.