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Published on: September 12, 2019
Embryonal rhabdomyosarcoma of the cervix and appendiceal carcinoid tumor
Brandi N Adams1, Justin S Brandt, Kristina Loukeris
1From Weill Cornell Medical College; New York Presbyterian Hospital-Weill Cornell Medical Center; the Department of Pathology, New York Presbyterian Hospital-Weill Cornell Medical Center; and the Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, New York Presbyterian Hospital-Weill Cornell Medical Center, New York, New York.
Background:
Rhabdomyosarcomas, particularly those of gynecologic origin, are very rare in adults. As a result, there is little literature on the optimal staging procedure and treatment modalities for this population.
Case:
A 43-year-old woman presented with a long-standing history of menorrhagia and was subsequently diagnosed with embryonal rhabdomyosarcoma of the cervix. She underwent a total abdominal hysterectomy, bilateral salpingo-oophorectomy, lymph node dissection, omentectomy, and appendectomy, which also revealed a synchronous tubular carcinoid tumor of appendiceal origin. Plans for treatment involve adjuvant chemotherapy with vincristine, dactinomycin, and cyclophosphamide.
Conclusion:
This case adds to the small body of literature surrounding cervical embryonal rhabdomyosarcoma in women over the age of 40 years and proposes that appendectomy be considered during surgical management.
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