title: Unique case of giant adult paratesticular spindle cell rhabdomyosarcoma.
abstract: A 50-year-old unmarried rural man was referred for a giant painless scrotal lump which had developed over a period of about six years. At the admission physical examination disclosed a large swelling scrotum and palpable left supraclavicular lymph nodes. Blood counts, renal and hepatic function tests, lactate dehydrogenase, beta-HCG, and alpha-fetoprotein were normal. Computed tomographic scan of thorax and abdomen revealed supraclavicular, mediastinal, and retroperitoneal adenopathies. The patient underwent right-sided radical orchiectomy. The final pathological diagnosis was paratesticular spindle cell rhabdomyosarcoma. Unfortunately, few days after surgery, patient presented a clinical and laboratory picture of disseminated intravascular coagulation followed by exitus.
authors.affiliation: Medical and Experimental Oncology Unit, Scientific Institute for Research and Treatment of Cancer Giovanni Paolo II Bari, Bari, Italy. n.silvestris@oncologico.bari.it
authors.forename: Nicola
authors.initials: N
authors.lastname: Silvestris
authors.forename: Francesco Alfredo
authors.initials: FA
authors.lastname: Zito
authors.forename: Leonardo
authors.initials: L
authors.lastname: Resta
authors.forename: Ondina
authors.initials: O
authors.lastname: Popescu
authors.forename: Roberta
authors.initials: R
authors.lastname: Rossi
authors.forename: Severino
authors.initials: S
authors.lastname: Montemurro
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Colucci
mesh_terms: D005834:Genital Neoplasms, Male / Q000473:pathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012208:Rhabdomyosarcoma / Q000473:pathology*; D012611:Scrotum