Al Ghamdi Ahmed S, Alharbi Naif M, Miyajan Khalil F, Hazzazi Aseel A, Fadel Ali A, Tabba Numan
Urology, Royal Commission Yanbu Medical Centre, Yanbu, SAU.
Family Medicine, Ministry of Health, Makkah, SAU.
Cureus. 2022 May 6;14(5):e24786. doi: 10.7759/cureus.24786. eCollection 2022 May.
The majority of patients with paratesticular rhabdomyosarcoma (RMS) present in the pediatric age group with a unilateral, painless, palpable scrotum mass. By contrast, cases of RMS presenting as painful edema are rare. We present a case of alveolar paratesticular RMS in a 30-year-old man who had been suffering from a painful swelling of the scrotum on the left side for two years and a preceding mass four months before visiting the clinic. Complete resection of the left epididymal mass was performed through a left inguinal incision. The histopathological and immunohistochemical examination of the mass revealed alveolar RMS of the paratesticular region. Urologists should be aware that paratesticular RMS may present in adults with atypical symptoms such as scrotal pain and edema, especially in those who do not respond to antibiotics. Hence, such patients should have an additional evaluation.
大多数睾丸旁横纹肌肉瘤（RMS）患者为儿童，表现为单侧、无痛、可触及的阴囊肿块。相比之下，以疼痛性水肿为表现的RMS病例很少见。我们报告一例30岁男性的肺泡型睾丸旁RMS病例，该患者左侧阴囊疼痛性肿胀已持续两年，就诊前四个月出现肿块。通过左腹股沟切口对左侧附睾肿块进行了完整切除。肿块的组织病理学和免疫组化检查显示为睾丸旁区域的肺泡型RMS。泌尿外科医生应意识到，睾丸旁RMS可能在成人中表现为非典型症状，如阴囊疼痛和水肿，尤其是对抗生素无反应的患者。因此，此类患者应进行进一步评估。
