Ultrastructure of a Paratesticular Rhabdomyosarcoma
Rhabdomyosarcoma, a malignant tumor of striated muscle, was described first in 1849 by Rokitansky. Since that time, another 150 cases have been documented. In recent years, it has been recognized that the paratesticular location of rhabdomyosarcoma is an important single site, particularly in adolescents. As a combination of surgery and chemotherapy can affect a cure, a definitive diagnosis should be established as early as possible.We report the case of an 18 year old boy, who presented with a scrotal mass, which was removed surgically, with the clinical impression of a hydrocele. On gross examination, the mass measured 4cm. He showed the presence of cystic change,foci of hemorrhage and solid white neoplastic tissue. Sheets of large polygonal cells were noted on histologic examination and there was infiltration of the epididymis.Microscopic examination of Epon embedded material cut at micron and stained with to luidine blue confirmed the presence of a diffuse infiltrate of large polygonal cells. The cells were arranged in sheets, which were separated by irregular fibrous bands.