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Published on: February 28, 2019
Rhabdomyosarcoma of nose, nasopharynx and paranasal sinuses
Prabir Kumar Mondal1, Indranil Pal, Saibal Misra
1Department of ENT, Medical College Hospital, 88 College Street, Kolkata, West Bengal India.
Insights
Rhabdomyosarcoma, a rare childhood cancer, often affects the head and neck. This study details six cases involving the nose, nasopharynx, and sinuses, highlighting treatment approaches for this aggressive soft tissue tumor.
Area of Science:
- Oncology
- Pediatric Oncology
- Surgical Pathology
Background:
- Rhabdomyosarcoma is a prevalent and aggressive soft tissue malignancy in children.
- It originates from primitive striated muscle cells (rhabdomyoblasts).
- While it can occur anywhere, head and neck locations are most common.
Purpose of the Study:
- To present six pediatric cases of rhabdomyosarcoma affecting the nose, nasopharynx, and paranasal sinuses.
- To describe the treatment modalities employed for these specific cases.
Main Methods:
- Case series presentation.
- Review of treatment protocols including radiotherapy, chemotherapy, and surgical resection (medial maxillectomy).
Main Results:
- Six cases of rhabdomyosarcoma in the head and neck region were analyzed.
- Four patients received combined radiotherapy and chemotherapy.
- Two patients underwent medial maxillectomy followed by chemotherapy and radiotherapy.
Conclusions:
- Rhabdomyosarcoma of the nose, nasopharynx, and paranasal sinuses requires multimodal treatment strategies.
- Combined modality treatments, including surgery, radiotherapy, and chemotherapy, are crucial for managing these pediatric tumors.
Abstract:
Rhabdomyosarcoma is an aggressive malignant soft tissue tumor that arises from primitive striated muscle cells called rhabdomyoblasts. It is the most common soft tissue malignant tumor in children and accounts for about 7-8% of childhood cancers. It can arise from almost anywhere in the body but it is most common in the head and neck region. This article presents six cases of rhabdomyosarcoma involving the nose, nasopharynx and the paranasal sinuses four of which were treated with a combination of radiotherapy and chemotherapy and two were treated with medial maxillectomy combined with chemotherapy and radiotherapy.
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