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Resection of Intrapericardial Rhabdomyosarcoma in a Child
Michael C Mongé1, David O Walterhouse2, John A Kalapurakal3
1Division of Cardiovascular-Thoracic Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, USA Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA mmonge@luriechildrens.org.
Insights
A rare intrapericardial rhabdomyosarcoma was surgically removed in a young girl using cardiopulmonary bypass. The patient is disease-free after completing chemotherapy and radiation therapy.
Area of Science:
- Pediatric Oncology
- Cardiovascular Surgery
- Pediatric Pathology
Background:
- Intrapericardial rhabdomyosarcoma is an exceptionally rare and aggressive pediatric malignancy.
- Surgical resection presents significant challenges due to the tumor's location within the pericardium.
Observation:
- A three-year-old female patient presented with an intrapericardial rhabdomyosarcoma.
- The tumor was successfully resected using cardiopulmonary bypass to maintain hemodynamic stability during the complex surgery.
Findings:
- Complete surgical resection of the intrapericardial rhabdomyosarcoma was achieved.
- The patient received adjuvant chemoradiotherapy following surgical intervention.
Implications:
- This case demonstrates the feasibility and success of surgical management for intrapericardial rhabdomyosarcoma in pediatric patients.
- Adjuvant therapy and surgical expertise are crucial for favorable outcomes in this rare condition.
- Long-term surveillance is necessary to ensure sustained disease-free status.
Abstract:
We describe successful surgical resection of an intrapericardial rhabdomyosarcoma, which was accomplished with the aid of cardiopulmonary bypass, in a three-year-old girl. The patient completed adjuvant chemoradiotherapy and has no evidence of disease at one-year follow-up.
