[Paratesticular Rhabdomyosarcoma with Rapid Growth in an Infant : A Case Report]

Area of Science:

• Pediatric Oncology
• Surgical Pathology
• Medical Imaging

Background:

• Paratesticular rhabdomyosarcoma is a rare malignancy in pediatric patients, often presenting as a painless scrotal mass.
• Early and accurate diagnosis is essential for effective management and improved patient outcomes.

Purpose of the Study:

• To report a case of paratesticular rhabdomyosarcoma in a young infant.
• To emphasize the importance of differential diagnosis for scrotal masses in infants.
• To highlight the need for multidisciplinary management in pediatric oncology.

Main Methods:

• Case report of a pediatric patient with a scrotal mass.
• Diagnostic imaging including ultrasonography, computed tomography, and magnetic resonance imaging.
• Histopathological examination confirming paratesticular rhabdomyosarcoma.
• Adjuvant chemotherapy with vincristine sulfate, actinomycin D, and cyclophosphamide.

Main Results:

• A 3 cm right scrotal mass rapidly progressed to 7 cm within one month.
• Histopathology confirmed paratesticular rhabdomyosarcoma.
• The patient remained recurrence-free one year after high orchiectomy and adjuvant chemotherapy.

Conclusions:

• Paratesticular rhabdomyosarcoma requires consideration in the differential diagnosis of infantile scrotal masses.
• Multidisciplinary collaboration is vital for optimal management of pediatric paratesticular rhabdomyosarcoma.
• Timely intervention and adjuvant therapy can lead to favorable outcomes.