Nikitina Olga, Tilma Karen Andersen
Sygehus Vendsyssel, Hjørring, Paediatrisk Afdeling.
Ugeskr Laeger. 2007 Feb 12;169(7):608-9.
We describe a relatively rare case of botryoid rhabdomyosarcoma (RMS) in a 15-month-old female presenting with fever, abdominal pain, urinary retention, haematuria and a tumour protruding through the urethra. The diagnosis was verified by cystoscopy with biopsy and MRI. She was treated with combined chemotherapy and surgery. Early diagnosis and treatment are crucial to the prognosis. RMS should be considered as a differential diagnosis in cases whose symptoms include urinary retention, haematuria, urinary incontinence and atypical abdominal pain, and a primary ultrasound scan should be done. Cystoscopy and MRI should be considered, especially in cases involving atypical urological symptoms.
我们描述了一例相对罕见的葡萄状横纹肌肉瘤(RMS)病例,患者为一名15个月大的女性,表现为发热、腹痛、尿潴留、血尿以及肿瘤经尿道突出。通过膀胱镜检查活检和磁共振成像(MRI)确诊。她接受了化疗和手术联合治疗。早期诊断和治疗对预后至关重要。对于出现尿潴留、血尿、尿失禁和非典型腹痛症状的病例,应将RMS视为鉴别诊断之一,并且应首先进行超声检查。应考虑进行膀胱镜检查和MRI,尤其是在涉及非典型泌尿系统症状的病例中。