PDF(Pubmed)
Abstract：
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.
摘要：
大多数患者存在于小儿年龄组的睾丸旁横纹肌肉瘤（RMS），无痛,可触及的阴囊肿块。相比之下,表现为疼痛性水肿的RMS病例很少见。我们介绍了一名30岁男子的肺泡旁RMS病例，该男子在去诊所之前曾遭受左侧阴囊疼痛肿胀两年和前四个月的肿块。通过左腹股沟切口完全切除左附睾肿块。肿块的组织病理学和免疫组织化学检查显示，睾丸旁区域的肺泡RMS。泌尿科医师应注意，睾丸旁RMS可能存在于患有阴囊疼痛和水肿等非典型症状的成人中，尤其是那些对抗生素没有反应的人。因此，此类患者应进行额外评估。
