A case of pediatric paratesticular rhabdomyosarcoma misdiagnosed as epididymitis

Abstract

Paratesticular embryonal rhabdomyosarcoma (RMS) is a rare tumor arising from the mesenchymal tissues of testis and paratesticular tissue. RMS which usually presents as a painless mass in the scrotum is frequently seen in children, teens and young adults. Accurate diagnosis and early treatment are essential as it is an aggressive tumor with high metastatic potential and poor prognosis. Orchiectomy is the treatment of choice. Chemo-radiotherapy is recommended in case of recurrence and metastasis. We aimed to present an anusual case of a 9-year-old child with paratesticular RMS, who presented with a painful scrotal swelling which was misdiagnosed as epididymitis.