Sturgis Morgan R, Rosen Jennifer, Gong Edward M, Johnson Emilie K
Department of Urology, Rush University Medical Center, USA.
Division of Urology, Ann & Robert H. Lurie Children's Hospital of Chicago, USA.
Urol Case Rep. 2025 Jun 6;61:103086. doi: 10.1016/j.eucr.2025.103086. eCollection 2025 Jul.
Paratesticular rhabdomyosarcoma is a rare malignancy with favorable prognosis when treated with radical inguinal orchiectomy ± chemotherapy and radiation for patients with advanced disease. When scrotal radiation is indicated, testicular preservation is a pivotal consideration. A widely accepted recommendation is temporary transposition of the remaining testicle to a thigh pouch prior to initiation of radiation. Here, we describe the clinical course of a young patient with paratesticular rhabdomyosarcoma and our unique operative approach using a Bianchi incision during thigh pouch creation to allow for groin preservation followed by a staged inguinal approach for post-radiation orchiopexy.
睾丸旁横纹肌肉瘤是一种罕见的恶性肿瘤，对于晚期疾病患者，采用根治性腹股沟睾丸切除术±化疗和放疗，预后良好。当需要进行阴囊放疗时，保留睾丸是一个关键考虑因素。一个广泛接受的建议是在开始放疗前将剩余睾丸临时转移至大腿袋。在此，我们描述了一名年轻睾丸旁横纹肌肉瘤患者的临床病程，以及我们独特的手术方法，即在创建大腿袋时采用比安基切口以保留腹股沟，随后采用分期腹股沟入路进行放疗后睾丸固定术。
