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Embryonal Rhabdomyosarcoma of External Ear - A Rare Case Report
Ananth Nag Jakkula1, Tarun Gogineni2, Srikanth Damera1
1Department of Oral and Maxillo-Facial Surgery, G.S.L Dental College and Hospital, Affiliated to G.S.L Cancer Trust, Andhra Pradesh, India.
The Rationale:
Rhabdomyosarcoma (RMS) is an uncommon tumour which presents at a wide variety of different head and neck sites. They are highly aggressive malignant mesenchymatous soft tissue sarcomas. Their occurrence in the outer ear is extremely rare.
Patient Concerns:
A 17-year-old female patient reported with a chief complaint of steady increase in growth over the left ear since 6 months, which is not associated with pain and ulceration.
Diagnosis:
Edge biopsy sections of the swelling over the left pinna and immunohistochemistry records of cells show MYODI positive confirming as Embryonal RMS.
Treatment:
Left auriculectomy and supra-omohyoid neck dissection with level V lymph node was performed.
Outcomes:
Uneventful postoperative healing in the resected site was elicited in the follow-up period of 1 year with no recurrence.
Take-Away Lessons:
External ear RMS is extremely rare. Careful clinical, radiological and histopathological evaluation are essential for prompt definitive diagnosis and for successful management.

