Adult paratesticular rhabdomyosarcoma

Background A 29-year-old male patient presented with a history of painless enlargement of the left hemiscrotum. Investigations Laboratory tests for β-human chorionic gonadotrophin, α-fetoprotein, and lactate dehydrogenase, physical examination, and CT of the chest, abdomen and pelvis. Histologic examination, nerve-sparing retroperitoneal lymph-node dissection. Diagnosis Paratesticular rhabdomyosarcoma with lymph node metastasis. Management Inguinal radical orchiectomy and adjuvant chemotherapy for 48 weeks. Radiotherapy and additional chemotherapy were administered following local recurrence.