Primary intratesticular rhabdomyosarcoma: a rare aggressive childhood neoplasm

Rajnish Kumar, Bhawna Sethi, Madhukar Maletha


Testicular tumors are relatively uncommon in children. The tumors of germ cell origin are still frequently encountered. The pure embryonal rhabdomyosarcomas of testis, not associated with sarcomatous component of the germ cell tumor, is a very rare entity. It is a highly aggressive tumor of childhood and young adolescents. In testes, it arises commonly from paratesticular tissue; primary intratesticular being extremely rare. To the best of authors knowledge, only fifteen cases of primary pure intratesticular tumor have been reported in the literature so far. We report a case of eight-year-old child who presented with a progressive painless right testicular enlargement over two months. Ultrasonography showed a heterogenous intratesticular mass. High orchidectomy was performed. Histopathological examination of the specimen assisted with immunohistochemistry revealed embryonal rhabdomyosarcoma.


Childhood Intratesticular tumor, Embryonal rhabdomyosarcoma, Paratesticular tumor

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Nasit JG, Parikh B, Trivedi P, Shah M. Primary intratesticular rhabdomyosarcoma in pediatrics. Ind J Urol: IJU: J Urol Soci Ind. 2013 Jan;29(1):77.

Green DM. Testicular tumors in infants and children. Semin Surg Oncol. 1986;2(3):156-62.

Cooper CS, Snyder HM III. Pediatric genitourinary cancer. In: Nachtsheim D ed. Urological Oncology. Georgetown, TX: Landes Bioscience; 2005:127.

Stewart LH, Lioe TF, Johnston SR. Thirty‐year review of intrascrotal rhabdomyosarcoma. Bri J Urol. 1991 Oct;68(4):418-20.

Ahsaini M, Kassogué A, Tazi MF, Idrissi KS, Moumna K, Chbani L, et al. Early local recurrence of a pure embryonal rhabdomyosarcoma of the testis successfully managed with local resection associated with lymphadenectomy and adjuvant chemotherapy. J Afri Cancer/African J Cancer. 2014 May 1;6(2):115-8.

Parham DM, Ellison DA. Rhabdomyosarcomas in adults and children: an update. Archiv Pathol Lab Med. 2006 Oct;130(10):1454-65.

Kelly B, Lundon D, Rowaiye B, Daly P, Walsh K. Embryonal rhabdomyosarcoma of the testis. Canad Urol Assoc J. 2011 Feb;5(1):E7.

Rosai J. Male Reproductive system. Rosai and Ackerman’s Surgical Pathology. 9th ed. St louis Missouri: Mosby; 2004:1420-1439.

Weiss SW, Goldblum JR. Enzinger and Weiss’s Soft Tissue Tumors. 4th ed. Philadelphia: Mosby;2001:818-821.

Manasseh AN, Echejoh GO, Silas OA, Tanko MN, Jegede SK, Mandong BM. Testicular embryonal rhabdomyosarcoma: A case Report. Int J Med Med Sci. 2009 Nov;1:470-2.