title: Does negative retroperitoneal CT in adolescents with paratesticular rhabdomyosarcoma preclude the need of retroperitoneal lymph node dissection?
abstract: We report on a 16-year-old male with paratesticular rhabdomyosarcoma who underwent retroperitoneal lymph node dissection due to a stage I tumor (normal retroperitoneal computed tomoghaphy). The surgical finding was three enlarged nodes, positive for metastatic disease. Patient was referred to adjuvant chemotherapy. This case suggests that the Intergroup Rhabdomyosarcoma Study Group IV protocol is subject to questions regarding adolescents with paratesticular rhabdomyosarcoma, and that negative retroperitoneal CT does not preclude the need of lymph node dissection.
authors.affiliation: Hospital Lucano, Teresina, PI, BR.
authors.forename: Eulalio
authors.initials: E
authors.lastname: Damazio
authors.affiliation: Instituto de Oncologia Pediátrica, Universidade Federal de São Paulo - UNIFESP, São Paulo, SP, BR.
authors.forename: Eliana
authors.initials: E
authors.lastname: Caran
authors.affiliation: Department of Urology, Universidade Federal de São Paulo - UNIFESP, São Paulo, SP, BR.
authors.forename: Valdemar
authors.initials: V
authors.lastname: Ortiz
authors.affiliation: Department of Urology, Universidade Federal de São Paulo - UNIFESP, São Paulo, SP, BR.
authors.forename: Antonio
authors.initials: A
authors.lastname: Macedo Junior