A paratesticular rhabdomyosarcoma may mimic other intra-scrotal disorders, which can delay diagnosis. Early diagnosis is important to reduce morbidity and mortality.
Occurrence: usually infants or young children but can occur in adolescents or adults
The mass may be painless or painful.
A small, painful tumor may mimic epididymitis or can cause epididymitis.
A small painless tumor may mimic an epididymal cyst. It can also be a cause of hydrocele.
The ultrasound appearance may be mistaken for other conditions such as adenomatoid tumor or leiomyosarcoma. MRI may be more accurate and can find metastatic sites.
There may delays in the initial evaluation or in follow-up.
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