G. Bognon, AS. Gbenou, J. Akodjenou, E. Soho, SD. Kunaba, M. Guédénon, JM. Alao.
DOI: 10.54266/ajo.2.1.34.1GklYaZHI5
INTRODUCTION: Paratesticular rhabdomyosarcoma is a rare and aggressive tumor. We report here a case in a 30 months old boy. OBSERVATION: The parents would have noticed a small, painless and rapidly evolving testicular mass in the six months old child. Not having health insurance, they went to the hospital only five months later. This was followed by a total ablation of the mass (without orchidectomy) and an anatomopathological investigation concluding to a pleiomorphic rhabdomyosarcoma. No chemotherapy was performed and the mass recurred two months later. This time, its ablation was followed by a series of non-adapted chemotherapy sessions with irregular follow-ups leading eight months later to the child’s admission at our department. He presented with a degraded general condition, associating an infectious and anemic syndrome, an important increase of the scrotal mass and the occurrence of a tumoral mass in the left iliac fossa. The tumoral nature of these masses was confirmed on abdominal ultrasound and scan. The tumor was classified stage II (AJCC Prognostic stages). The multidisciplinary medical staff indicated a total ablation of the two masses, followed by a new session of adapted chemotherapy, in the absence of radiotherapy means. The child died in the immediate surgery follow-ups due to cardiac arrest. CONCLUSION: In our context of insufficient technical facilities, only early detection and adapted imperative chemotherapy, would have enabled a durable remission in front of the paratesticular rhabdomyosarcoma.
KEYWORDS: Tumor; Paratesticular rhabdomyosarcoma.