Does negative retroperitoneal CT in adolescents with paratesticular rhabdomyosarcoma preclude the need of retroperitoneal lymph node dissection?

Damázio, Eulálio; Caran, Eliana Maria Monteiro; Ortiz, Valdemar; Macedo, António

doi:10.1590/s1679-45082011rc2008

Cited by 1 publication

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References 10 publications

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“…The CT scan, MRI, or PET/CT is regularly used to evaluate distant metastases or make the diagnosis of alveolar RMS. [ 16 , 17 ] Both CT and MRI can be used to assess the site, dimensions, and any distant metastases of the tumor. [ 18 ] PET/CT can give accurate information about distant metastases of the malignancy.…”

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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Section: Discussionmentioning

confidence: 99%