title: Embryonal rhabdomyosarcoma of the epididymis presenting as epididymitis: A case report.
abstract: Paratesticular rhabdomyosarcoma (RMS) is an extremely rare malignancy in adults, accounting for 7% of all RMS cases and 6% of all non-germinal intrascrotal tumors. The clinical signs are similar to those of a hydrocele or testicular tumor, typically presenting as a unilateral, painless mass in the inguinal canal or scrotum. No specific serum markers are currently available for this tumor. RMS of the epididymis is extremely rare. Particularly when it is associated with epididymitis, this malignancy is usually overlooked. We herein present a case of epididymal embryonal RMS, manifesting an painful scrotal edema, misdiagnosed as epididymitis. The patient received 3 cycles of adjuvant chemotherapy postoperatively and remained disease-free after 4 years of follow-up.
authors.affiliation: Department of Andrology, Norman Bethune First Hospital, Jilin University, Changchun, Jilin 130021, P.R. China.
authors.forename: Hong-Liang
authors.initials: HL
authors.lastname: Wang
authors.affiliation: Department of Andrology, Norman Bethune First Hospital, Jilin University, Changchun, Jilin 130021, P.R. China.
authors.forename: Ling-Yun
authors.initials: LY
authors.lastname: Liu
authors.affiliation: Department of Psychology, Norman Bethune First Hospital, Jilin University, Changchun, Jilin 130021, P.R. China.
authors.forename: Run-Hui
authors.initials: RH
authors.lastname: Tian
authors.affiliation: Department of Andrology, Norman Bethune First Hospital, Jilin University, Changchun, Jilin 130021, P.R. China.
authors.forename: Fu-Biao
authors.initials: FB
authors.lastname: Li
authors.affiliation: Department of Andrology, Norman Bethune First Hospital, Jilin University, Changchun, Jilin 130021, P.R. China.
authors.forename: Kai-Min
authors.initials: KM
authors.lastname: Guo
keywords: embryonal rhabdomyosarcoma; epididymis; epididymitis