Goff W B, Lawrence D P, Deweese R A
Department of Radiology, Naval Hospital, San Diego, California 92134-5000.
Clin Pediatr (Phila). 1990 Jul;29(7):412-3. doi: 10.1177/000992289002900711.
This is a case report of embryonal rhabdomyosarcoma of the epididymal appendage in a 15-month old infant. It is a rare tumor with a good prognosis when treated promptly. The ultrasound examination showed the testicle to be enlarged but hypo-echoic in comparison to the epididymis which was infiltrated with tumor. An inflammatory mass or enlargement of a testicle demands careful diagnosis and appropriate therapy with immediate referral to a urologist if the normal clinical course deviates. Representative images are included. Rhabdomyosarcoma of the testicle or extra testicular scrotal structures is rare. A report in 1983 by Kage et al from Japan revealed two cases of the tumor, however, both were in adult males. This case report is an embryonal rhabdomyosarcoma in a fifteen month old infant which presented with a confusing clinical picture. This case is presented in an effort to alert the clinician to the possibility of a rare, non-germ cell tumor presenting as an inflammatory lesion.
这是一例15个月大婴儿附睾附件胚胎性横纹肌肉瘤的病例报告。这是一种罕见肿瘤，若及时治疗预后良好。超声检查显示睾丸增大，但与被肿瘤浸润的附睾相比呈低回声。睾丸的炎性肿块或肿大需要仔细诊断并进行适当治疗，如果正常临床病程出现偏差，应立即转诊给泌尿科医生。文中包含代表性图像。睾丸或睾丸外阴囊结构的横纹肌肉瘤很罕见。1983年日本的Kage等人报告了两例该肿瘤病例，但均为成年男性。本病例报告是一名15个月大婴儿的胚胎性横纹肌肉瘤，其临床表现令人困惑。呈现此病例是为了提醒临床医生注意一种罕见的非生殖细胞肿瘤可能表现为炎性病变的可能性。
