{Reference Type}: Case Reports
{Title}: Primary rhabdomyosarcoma of tunica vaginalis misdiagnosing as hydrocele: A case report and literature review.
{Author}: Yang F;Wu J;Lu X;Guo Z;Qing L;He C;
{Journal}: Andrologia
{Volume}: 52
{Issue}: 3
{Year}: Apr 2020
{Factor}: 2.532
{DOI}: 10.1111/and.13517
{Abstract}: Primary rhabdomyosarcoma of tunica vaginalis is very rare. We report a case of a 15-year-old man presenting as hydrocele. Pre-operatively, no masses were detected by ultrasonography. Hydrocelectomy was performed. At surgery, a 0.8 cm polypoid nodule and diffusely thickened tunica were found. Pathologic examination finally revealed rhabdomyosarcoma. A PET-CT was then performed and indicated scrotal implantation metastasis. The patient underwent radical inguinal orchiectomy and was treated with chemotherapy and radiotherapy after surgery. At 12 months of follow-up, he remained disease-free.