Epididymis rhabdomyoma A case report and literature review.docVIP

Hanetal.DiagnosticPathology2012,7:47 /content/7/1/47 CASE REPORT OpenAccess Epididymisrhabdomyoma:Acasereportand literaturereview YangHan1,Xue-shanQiu1,Qing-changLi1,Yu-chenHan1,Xu-yongLin1,Qing-fuZhang1,JianWang1, En-huaWang1*andZe-liangLi2 Abstract Genitalrhabdomyomaisveryraretumorthatusuallyoccursinthevulvarofyoungwomen.Epididymis rhabdomyomainayoungmanisextremelyuncommonandhasrarelybeenreported.Here,wereportacaseof epididymisrhabdomyomaofa17-year-oldmanandreviewtheliteratures. Virtualslide:Thevirtualslide(s)forthisarticlecanbefoundhere:http://www.diagnosticpathology.diagnomx.eu/vs/ 1177628224692794 Keywords:Rhabdomyoma,Epididymis,Epididymisrhabdomyomaimmunohistochemistry Background yearaftermarried,themassdidn’tshrink.Physicalexamin- Rhabdomyoma is an exceedingly rare benign tumor of ation showed a firm, nontender mass in the right scrotal striatedmuscle.Itcanbedividedintothefollowingcategor- sac,measuredabout1.5cm×1.0cm×1.0cmandwascon- ies: cardiac rhabdomyomas and extracardiac rhabdomyo- sideredoriginatedfromepididymis.Theleftscrotalsacwas mas,whicharerelativelyrare[1].Genitalrhabdomyomais unremarkable. The penis was uncircumcised. The rectal evenmoreuncommon,usuallyoccursinthevulvaofyoung examination was within normal limits. Urinalysis revealed women [2,3]. Epididymal rhabdomyoma is extremely rare no significant abnormalities. Serum human chorionic go- intheworldandhasrarelybeenreported[4,5].Here,were- nadotropin(hCG)anda-fetoprotein(AFP)levelswerenot port a case of epididymis rhabdomyoma of a 17-year-old elevated. Ultrasound revealed a slightly inhomogeneous manandreviewoftheliteratures. nodule in the head region of the right epididymis, about 1.51cm×1.13cm.Inguinalexplorationwithpossibleright radicalorchiectomyversusrightepididymistumorresection wasscheduled.Surgicalfindings:A1.5cm×1.0cm×1.0cm firmmassinvolvedtheheadoftherightepididymis.There wasnoobviousabnormalintherighttestisandthetunica vaginaliswasintact.Intraoperativefrozen