Paratesticular rhabdomyosarcoma: a case report

The rhabdomyosarcomas are rare tumors of mesenchymal tissue. Whose most frequent localisations are genito-urinary, and occur in the child and young adult. It's an intrascrotal turnout, localised in the tunica vaginalis, epididymis or spermatic cord. The authors report a case of paratesticular rhabdomyosarcoma in a 15 year old child, who presented a right painless scrotal mass since two months. The research of the tumoral markers is negative. Scrotal ultrasound shows a tissular mass in spermatic cord. Abdominal ultrasound and CT show retroperitoneal lymph node mass. Chest X-ray is normal. The intervention consists of a right castration. The histological examination of the spiceman confirms the diagnosis of the paratesticular rhabdomyosarcoma of the spermatic cord. The patient is treated by chemotherapy without improvement. Through this observation, the authors underline the interest of the imagery and the aspects of the paratesticular tumours in ultrasound and CT.