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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.

Annals of Maxillofacial Surgery
|March 10, 2022
PubMed
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Embryonal rhabdomyosarcoma (RMS) is a rare, aggressive soft tissue sarcoma. This case highlights successful surgical management of a rare external ear RMS in a young female patient, with no recurrence after one year.

Area of Science:

  • Oncology
  • Surgical Pathology
  • Head and Neck Surgery

Background:

  • Rhabdomyosarcoma (RMS) is a rare, aggressive malignant mesenchymatous soft tissue sarcoma.
  • RMS commonly affects various head and neck sites, but occurrence in the outer ear is exceptionally rare.

Observation:

  • A 17-year-old female presented with a 6-month history of a progressively enlarging, asymptomatic growth on her left ear.
  • Clinical examination revealed a swelling over the left pinna.

Findings:

  • Biopsy and immunohistochemistry confirmed the diagnosis of Embryonal RMS, indicated by MYODI positivity.
  • The patient underwent left auriculectomy and supra-omohyoid neck dissection with level V lymph node removal.

Implications:

Keywords:
Adolescentearneck dissectionrhabdomyosarcomasarcoma

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  • This case underscores the extreme rarity of external ear RMS.
  • Prompt and accurate diagnosis through clinical, radiological, and histopathological evaluation is crucial for effective management.
  • Successful surgical resection and follow-up demonstrated a favorable outcome with no recurrence after one year.