RHABDOMYOSARCOMA OF PARATESTICULAR TISSUES IN CHILDREN - REPORT OF 8 CASES

Six of 8 boys with paratesticular rhabdomyosarcomas survive, one to 20 years, after definitive therapy. Two children who underwent excision of secondary tumor deposits now survive, free of tumor, 6 and 20 years later. The combination of radical orchiectomy, retroperitoneal lymph node dissection up to and including the renal hilar lymph nodes, and local radiation offers the best chance of prolonged survival. Wide excision of secondary tumor deposits can be curative since early recurrences tend to be either in the incision or in the lymphatic channels draining the area. There is no evidence that chemotherapy increases survival in children with paratesticular rhabdomyosarcoma. © 1969.