A case report of paratesticular rhabdomyosarcoma management: Orchiectomy, pre-radiation testicular transposition, and post-radiation orchiopexy

Paratesticular rhabdomyosarcoma is a rare malignancy with favorable prognosis when treated with radical inguinal orchiectomy ± chemotherapy and radiation for patients with advanced disease. When scrotal radiation is indicated, testicular preservation is a pivotal consideration. A widely accepted rec...

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Bibliographic Details
Main Authors: Morgan R. Sturgis, Jennifer Rosen, Edward M. Gong, Emilie K. Johnson
Format: Article
Language:English
Published: Elsevier 2025-07-01
Series:Urology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2214442025001573
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Summary:Paratesticular rhabdomyosarcoma is a rare malignancy with favorable prognosis when treated with radical inguinal orchiectomy ± chemotherapy and radiation for patients with advanced disease. When scrotal radiation is indicated, testicular preservation is a pivotal consideration. A widely accepted recommendation is temporary transposition of the remaining testicle to a thigh pouch prior to initiation of radiation. Here, we describe the clinical course of a young patient with paratesticular rhabdomyosarcoma and our unique operative approach using a Bianchi incision during thigh pouch creation to allow for groin preservation followed by a staged inguinal approach for post-radiation orchiopexy.
ISSN:2214-4420