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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© 2003 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
