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All Journal International Journal of Science and Society (IJSOC)
Erlina, Nency
Unknown Affiliation
Materials Science & Nanotechnology Social Sciences

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Report of a Rare Case of Childhood Paratesticular Rhabdomyosarcoma (PT-RMS) and Literature Review Pratiwi, Suci; Erlina, Nency
International Journal of Science and Society Vol 7 No 2 (2025): International Journal of Science and Society (IJSOC)
Publisher : GoAcademica Research & Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54783/ijsoc.v7i2.1459

Abstract

Paratesticular rhabdomyosarcoma (PT-RMS) is a rare, aggressive soft tissue malignancy affecting children and adolescents. Early diagnosis and multimodal treatment are crucial to reduce recurrence and improve survival. We report a 6-year-4-month-old male with advanced PT-RMS presenting with a bleeding scrotal mass, severe malnutrition, and anemia. The patient had previously received 25 chemotherapy cycles and experienced relapse, requiring reinitiation of chemotherapy with vincristine, actinomycin C, and cyclophosphamide. Imaging revealed an extensive fixed mass involving the scrotum, penis, bladder wall, and enlarged inguinal and para-iliac lymph nodes. Multidisciplinary management included supportive care, wide excision, and planned bilateral inguinal lymph node dissection. This case highlights the diagnostic and therapeutic challenges of advanced PT-RMS, emphasizing the role of proper imaging, radical surgery with inguinal lymphadenectomy, and adjuvant chemotherapy to optimize local control and prevent metastasis. Effective management of pediatric PT-RMS requires timely diagnosis, complete surgical resection with lymph node evaluation, and adequate adjuvant therapy to improve outcomes and minimize recurrence risk.
Co-Authors Suci Pratiwi