Paratesticular embyronal rhabdomyosarcoma in an adolescent: A rare case report

Embyronal rhabdomyosarcoma (RMS) accounts for approximately 49% of all RMS. After head and neck, this tumor is most commonly found in genitourinary region, which includes paratesticular RMS. Paratesticular RMS is rare constituting 4-7% of all RMS in children and young adults. It has been regarded as highly malignant tumor with frequent recurrence. The management protocol is of multimodal approach of surgery, chemo, and radiotherapy. We herein report a case of left paratesticular RMS in an 18-year-old male, which posed a diagnostic dilemma clinically and by imaging. Histopathology with added immunohistochemistry brought out the confirmatory diagnosis. The patient was successfully treated and on follow-up is disease free until date.