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Metastatic testicular rhabdomyosarcoma—a report of two cases

  • Kenneth W Gow
    Correspondence
    Address reprint requests to Kenneth W. Gow, MD, Department of Pediatric Surgery, Emory University, 2040 Ridgewood Dr, NE, Atlanta, GA 30322, USA
    Affiliations
    Department of Surgery, BC Children’s and Women’s Health Centre and University of British Columbia, Vancouver, British Columbia, Canada
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  • James J Murphy III
    Affiliations
    Department of Surgery, BC Children’s and Women’s Health Centre and University of British Columbia, Vancouver, British Columbia, Canada
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  • John K Wu
    Affiliations
    Department of Hematology and Oncology, BC Children’s and Women’s Health Centre and University of British Columbia, Vancouver, British Columbia, Canada
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  • Derek J deSa
    Affiliations
    Department ofPathology, BC Children’s and Women’s Health Centre and University of British Columbia, Vancouver, BC, Canada
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      Abstract

      Rhabdomyosarcoma is the most common type of soft tissue sarcoma in children. The tumor spreads by local extension, to regional lymph nodes, or by distant metastases. Metastatic spread to the testicle has been rarely described. The authors describe 2 boys who were found to have intratesticular metastases after presenting with primary tumors in their extremities. The first patient, an 11-year-old boy presented with primary disease in his left foot and an enlarged testicle. Rhabdomyosarcoma was found histologically in both the foot and the testicle. A second boy 17 years of age had a primary tumor involving the left upper extremity treated with amputation, chemotherapy, and radiotherapy. A relapse was noted 2 years later in the left testicle and was treated with orchiectomy. The authors discuss the implications and the management of this rare presentation of metastatic rhabdomyosarcoma.

      Keywords

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