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Updated: Feb 14, 2026

Local Anesthetic Thoracoscopy for Undiagnosed Pleural Effusion
Published on: November 10, 2023
Rhabdomyosarcoma mimicking as pleural effusion
Tiwari K Vijayesh1, Abhishek Kumar1, Nitesh Mohan2
1Department of Pulmonary Medicine, Rohilkhand Medical College and Hospital, Bareilly, Uttar Pradesh, India.
Rhabdomyosarcoma (RMS) is a rare soft tissue sarcoma, often linked to infections in developing nations. This case highlights alveolar RMS in a child presenting with pleural effusion.
Area of Science:
- Pediatric Oncology
- Sarcoma Research
- Cancer Etiology
Background:
- Rhabdomyosarcoma (RMS) is a malignant skeletal muscle neoplasm, representing the most frequent soft tissue sarcoma.
- RMS accounts for approximately 40% of all soft tissue sarcomas, with a notable prevalence in non-developed countries.
- Alveolar RMS predominantly affects children, and 80% of cases occur within the first three decades of life.
Observation:
- This report details a case of a 12-year-old child diagnosed with alveolar RMS.
- The child presented with clinical and radiological evidence of pleural effusion.
- Pleural effusion as a presenting symptom in pediatric alveolar RMS is a significant clinical observation.
Findings:
- The case confirms alveolar RMS as a potential diagnosis in pediatric patients presenting with respiratory symptoms and effusion.
- Radiological findings of pleural effusion were key in the clinical presentation of this rare pediatric cancer.
- The etiology of RMS, particularly its link to infectious diseases, warrants further investigation, especially in specific geographic contexts.
Implications:
- Early recognition of RMS, even with atypical presentations like pleural effusion, is crucial for timely intervention in pediatric oncology.
- Understanding the diverse clinical manifestations of alveolar RMS can improve diagnostic accuracy.
- Further research into the infectious disease etiology of RMS may reveal novel prevention or treatment strategies.
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