DOI: 10.36347/sjmcr.2024.v12i04.045

Pages: 567-570

Sarcoma botryoides, a variant of embryonal rhabdomyosarcoma, represents the predominant malignant tumor affecting the genitourinary (GU) system in children under 15 years of age. Among GU tract malignancies in this age group, the embryonal subtype of habdomyosarcoma is the most prevalent. In young and adolescent individuals, the cervix and uterus are affected; whereas in infants, vaginal lesions are more common. Imaging plays a crucial role not only in the initial diagnosis but also in long‑term follow‑up of genital rhabdomyosarcoma. Although the magnetic resonance imaging features of GU tract rhabdomyosarcomas have been escribed, there have been relatively few radiological reports in the literature regarding the botryoid variant. This article aims to illustrate and describe the imaging appearance of this rare tumor. We present a case of a one-year-old male who presented with a rapidly growing pelvic mass, crying and straining on micturition and difficulty in passing stool and urine. An abdomino-pelvic CT scan and MRI were performed. He had been examinated under anesthesia and biopsy. Histology confirmed sarcoma botryoides.