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  • Case Study
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Adult paratesticular rhabdomyosarcoma

Abstract

Background A 29-year-old male patient presented with a history of painless enlargement of the left hemiscrotum.

Investigations Laboratory tests for β-human chorionic gonadotrophin, α-fetoprotein, and lactate dehydrogenase, physical examination, and CT of the chest, abdomen and pelvis. Histologic examination, nerve-sparing retroperitoneal lymph-node dissection.

Diagnosis Paratesticular rhabdomyosarcoma with lymph node metastasis.

Management Inguinal radical orchiectomy and adjuvant chemotherapy for 48 weeks. Radiotherapy and additional chemotherapy were administered following local recurrence.

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Figure 1: Histologic findings of the resected tumor.
Figure 2: Macroscopic view of the left retroperitoneal lymph node, resected prior to chemotherapy, mapped on the schema of major vessels and ureters.
Figure 3: Treatment schema for Intergroup Rhabdomyosarcoma Study IRS-III chemotherapy regimen 36

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Correspondence to Kazunori Haga.

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The authors declare no competing financial interests.

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Haga, K., Kashiwagi, A., Nagamori, S. et al. Adult paratesticular rhabdomyosarcoma. Nat Rev Urol 2, 398–402 (2005). https://doi.org/10.1038/ncpuro0257

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