Giant intrascrotal embryonal rhabdomyosarcoma in an adult: a case report and review of the literature

Abstract

BackgroundIntrascrotal embryonal rhabdomyosarcoma in adults is a rare tumor with high aggression and a poor prognosis. We report our patient’s case and review the relevant literature to improve the understanding of this rare disease.Case presentationA 21-year-old Han Chinese man presented to our hospital with a right intrascrotal mass of 1 year’s duration. His physical examination revealed an enlarged right scrotum containing a huge tender mass measuring about 10 × 7 cm. Ordinary and contrast-enhanced ultrasonography showed a solid mass in the right scrotum, which was suspected to be a malignant tumor. An abdominopelvic computed tomographic scan revealed metastases in the retroperitoneal lymph nodes. The patient was diagnosed with malignant testicular tumor and underwent a right radical orchiectomy by an inguinal approach. Postoperative pathological examination suggested an intrascrotal embryonal rhabdomyosarcoma.ConclusionsIntrascrotal embryonal rhabdomyosarcoma is a rare but highly aggressive tumor. Clinical and imaging manifestations of this tumor are nonspecific, so the definitive diagnosis depends on postoperative pathology and immunohistochemistry. Early suspicion, radical orchiectomy, accurate pathologic diagnosis, and adjuvant chemotherapy and/or radiotherapy are the keys to optimal prognosis.

Diagnosis and treatment of rhabdomyosarcomas

“…It may develop within the parotid glands [91], the thyroid [92], and the oral cavity [93]. RMS within the urogenital tract may occur, among others, in the bladder [94], prostate [95], urethra [96], uterus [97,98], vulva [99], or scrotum [100]. In adult RMS patients it more commonly develops in an unfavorable anatomical localization, i.e.…”

Assessing of The Continuance Intentions to Use Fintech Payments, an Integrating Expectation Confirmation Model

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