Intrascrotal diagnosed masses are often localized to testicle. Others located in extratesticular areas mostly ariss from paratesticular tissues. It accounts for approximately 1%-2% of all pediatric solid masses and incidence is about 0,5-2 among 100000 patients (1). Paratesticular rhabdomyosarcomas, which are rarely seen malignant tumors arises in the mesenchymal tissue of the spermatic cord and are responsible from 75% of all rhabdomyosarcoma cases, and also 17% of pediatric malignant intrascrotal tumors (2). In this report, we reviewed a patient presented with a scrotal swelling and diagnosed as paratesticular rhabdomyosarcoma after radical orchiectomy.