Pleomorphic rhabdomyosarcoma of the spermatic cord and a secondary hydrocele testis: A case report

Figure 1 Physical examination. A left scrotal mass measuring 15 cm was noted.

Figure 2 Intraoperative finding. A and B: Coronal (A) and sagittal (B) views of contrast-enhanced magnetic resonance imaging showing a hydrocele testis and a heterogeneously enhanced lesion with a relatively well-defined margin; C: Intraoperative finding of the spermatic cord tumor and a secondary hydrocele testis.

Figure 3 Histopathological and immunohistochemical analyses. A: Formalin-fixed paraffin-embedded tumor tissue was stained with hematoxylin and eosin (100 ×); B: Vimentin (200 ×, cytoplasmic and membranous staining); C: Desmin (200 ×, cytoplasmic staining); D: Myogenin (200 ×, nuclear staining); E: Smooth muscle actin (200 ×, cytoplasmic and membranous staining); F: Ki-67 (200 ×, approximately 40% positivity).