paediatrics Brussels 17

Case 2: Paratesticular Mass

• 13 year old boy with left testicular enlargement • Ultrasound reveals a left scrotal mass • Patient underwent left inguinal orchiectomy which revealed a 4 cm embryonal rhabdomyosarcoma with negative margins of resection • CT scan of the abdomen did not reveal any nodal metastasis • Ipsilateral nodal dissection revealed 2 of 7 left paraaortic nodes had rhabdomyosarcoma • No distant metastasis on work-up