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Pleomorphic rhabdomyosarcoma of the spermatic cord and a secondary hydrocele testis: A case report
BACKGROUND: Pleomorphic rhabdomyosarcoma (RMS) of the spermatic cord is a group of rare neoplasms, and a secondary hydrocele testis occasionally occurs. The misdiagnosis of paratesticular mass may lead to a therapeutic delay. CASE SUMMARY: A 79-year-old man presented to our clinic complaining of a 1...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Baishideng Publishing Group Inc
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7322420/ https://www.ncbi.nlm.nih.gov/pubmed/32607344 http://dx.doi.org/10.12998/wjcc.v8.i12.2641 |
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author | Chen, Xin Zou, Ci Yang, Chao Gao, Liang Bi, Liang-Kuan Xie, Dong-Dong Yu, De-Xin |
author_facet | Chen, Xin Zou, Ci Yang, Chao Gao, Liang Bi, Liang-Kuan Xie, Dong-Dong Yu, De-Xin |
author_sort | Chen, Xin |
collection | PubMed |
description | BACKGROUND: Pleomorphic rhabdomyosarcoma (RMS) of the spermatic cord is a group of rare neoplasms, and a secondary hydrocele testis occasionally occurs. The misdiagnosis of paratesticular mass may lead to a therapeutic delay. CASE SUMMARY: A 79-year-old man presented to our clinic complaining of a 1-mo history of painless scrotal swelling. Physical examination revealed approximately a 15 cm × 10 cm × 5 cm inguinal mass with limited mobility. Contrast-enhanced magnetic resonance imaging showed a hydrocele testis, several enlarged inguinal lymph nodes, and a heterogeneously enhanced lesion with a relatively well-defined margin in the left inguinal region. Due to the imaging findings, he was diagnosed with pleomorphic RMS and received a wide resection of the mass, an inguinal incision with a high section of the left spermatic cord, and a left radical orchiectomy. He experienced local relapse 1 mo postoperatively and received radiotherapy and anlotinib hydrochloride-based immunotherapy as adjuvant therapy. The patient died 3 mo after the surgery. CONCLUSION: The optimal interventions for advanced-stage pleomorphic RMS patients should be investigated by more preclinical studies and clinical trials. Physicians need to be aware of the occurrence of pleomorphic RMS in unusual locations, especially when accompanied by a hydrocele testis. |
format | Online Article Text |
id | pubmed-7322420 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-73224202020-06-29 Pleomorphic rhabdomyosarcoma of the spermatic cord and a secondary hydrocele testis: A case report Chen, Xin Zou, Ci Yang, Chao Gao, Liang Bi, Liang-Kuan Xie, Dong-Dong Yu, De-Xin World J Clin Cases Case Report BACKGROUND: Pleomorphic rhabdomyosarcoma (RMS) of the spermatic cord is a group of rare neoplasms, and a secondary hydrocele testis occasionally occurs. The misdiagnosis of paratesticular mass may lead to a therapeutic delay. CASE SUMMARY: A 79-year-old man presented to our clinic complaining of a 1-mo history of painless scrotal swelling. Physical examination revealed approximately a 15 cm × 10 cm × 5 cm inguinal mass with limited mobility. Contrast-enhanced magnetic resonance imaging showed a hydrocele testis, several enlarged inguinal lymph nodes, and a heterogeneously enhanced lesion with a relatively well-defined margin in the left inguinal region. Due to the imaging findings, he was diagnosed with pleomorphic RMS and received a wide resection of the mass, an inguinal incision with a high section of the left spermatic cord, and a left radical orchiectomy. He experienced local relapse 1 mo postoperatively and received radiotherapy and anlotinib hydrochloride-based immunotherapy as adjuvant therapy. The patient died 3 mo after the surgery. CONCLUSION: The optimal interventions for advanced-stage pleomorphic RMS patients should be investigated by more preclinical studies and clinical trials. Physicians need to be aware of the occurrence of pleomorphic RMS in unusual locations, especially when accompanied by a hydrocele testis. Baishideng Publishing Group Inc 2020-06-26 2020-06-26 /pmc/articles/PMC7322420/ /pubmed/32607344 http://dx.doi.org/10.12998/wjcc.v8.i12.2641 Text en ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. |
spellingShingle | Case Report Chen, Xin Zou, Ci Yang, Chao Gao, Liang Bi, Liang-Kuan Xie, Dong-Dong Yu, De-Xin Pleomorphic rhabdomyosarcoma of the spermatic cord and a secondary hydrocele testis: A case report |
title | Pleomorphic rhabdomyosarcoma of the spermatic cord and a secondary hydrocele testis: A case report |
title_full | Pleomorphic rhabdomyosarcoma of the spermatic cord and a secondary hydrocele testis: A case report |
title_fullStr | Pleomorphic rhabdomyosarcoma of the spermatic cord and a secondary hydrocele testis: A case report |
title_full_unstemmed | Pleomorphic rhabdomyosarcoma of the spermatic cord and a secondary hydrocele testis: A case report |
title_short | Pleomorphic rhabdomyosarcoma of the spermatic cord and a secondary hydrocele testis: A case report |
title_sort | pleomorphic rhabdomyosarcoma of the spermatic cord and a secondary hydrocele testis: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7322420/ https://www.ncbi.nlm.nih.gov/pubmed/32607344 http://dx.doi.org/10.12998/wjcc.v8.i12.2641 |
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