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一名成年患者直肠后-骶前间隙原发性肺泡横纹肌肉瘤：一例罕见表现的罕见肿瘤病例报告

Primary alveolar rhabdomyosarcoma of retrorectal-presacral space in an adult patient: A case report of an uncommon tumor with rare presentation.

作者信息

Zhu Xiu-Liang, Su Wei-Wei, Tang Jin-Long, Yao Li-Ding, Lu Liang-Ji, Sun Xiu-Juan

机构信息

Department of Radiology.

Department of Ultrasonography.

出版信息

Medicine (Baltimore). 2019 Mar;98(10):e13416. doi: 10.1097/MD.0000000000013416.

DOI:10.1097/MD.0000000000013416
PMID:30855432
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6417633/
Abstract

RATIONALE

Rhabdomyosarcoma (RMS) has known as a highly malignant soft tissue sarcoma, representing 5% to 10% of all solid tumors in childhood. Alveolar rhabdomyosarcoma (ARMS) of the retrorectal-presacral space is an extremely rare lesion for adult, no study has been reported in the English literature.

PATIENT CONCERNS

A 51-year-old male presented with abdominal pain for 1 month, significantly worse when having a bowel movement.

DIAGNOSIS

Computed tomography (CT) and magnetic resonance imaging (MRI) of the pelvis showed a solid-cystic, enhancing lesion of dimension located in retrorectal-presacral space. The surgical specimen was reported as ARMS after pathological evaluation.

INTERVENTIONS

The tumor was complete surgical resection, and after surgery, the patient was treated with combination chemotherapy.

OUTCOMES

At 23 months follow up, the patient was asymptomatic with no evidence of metastases or local recurrence.

LESSONS

Improvements in imaging in addition to early surgical intervention and chemotherapy treatment are crucial to improve survival chances against RMS.

摘要

原理

横纹肌肉瘤（RMS）是一种高度恶性的软组织肉瘤，占儿童所有实体瘤的5%至10%。直肠后-骶前间隙的腺泡状横纹肌肉瘤（ARMS）在成人中极为罕见，英文文献中尚无相关研究报道。

患者情况

一名51岁男性，腹痛1个月，排便时明显加重。

诊断

骨盆计算机断层扫描（CT）和磁共振成像（MRI）显示，直肠后-骶前间隙有一个实性-囊性、强化的肿块。病理评估后，手术标本报告为ARMS。

干预措施

肿瘤完整切除，术后患者接受联合化疗。

结果

随访23个月时，患者无症状，无转移或局部复发迹象。

经验教训

除早期手术干预和化疗外，改善影像学检查对于提高抗RMS的生存几率至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bec/6417633/d326636a5119/medi-98-e13416-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bec/6417633/999e01c8fa00/medi-98-e13416-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bec/6417633/5bc75e909017/medi-98-e13416-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bec/6417633/d326636a5119/medi-98-e13416-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bec/6417633/999e01c8fa00/medi-98-e13416-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bec/6417633/5bc75e909017/medi-98-e13416-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8bec/6417633/d326636a5119/medi-98-e13416-g003.jpg

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Sci Rep. 2018 Jul 25;8(1):11448. doi: 10.1038/s41598-018-29513-4.
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Alveolar rhabdomyosarcoma of the sphenoid sinus mimicking optic neuritis presenting with intermittent visual loss in an adult.蝶窦肺泡状横纹肌肉瘤酷似视神经炎，表现为一名成人间歇性视力丧失。
Onco Targets Ther. 2016 Oct 14;9:6333-6336. doi: 10.2147/OTT.S106842. eCollection 2016.
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Rhabdomyosarcoma of Cervix: A Case Report.
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Iran J Cancer Prev. 2016 Jun 18;9(3):e4383. doi: 10.17795/ijcp-4383. eCollection 2016 Jun.
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Multiparametric MRI findings of sinonasal rhabdomyosarcoma in adults with comparison to carcinoma.成人鼻窦横纹肌肉瘤与癌的多参数磁共振成像表现比较
J Magn Reson Imaging. 2017 Apr;45(4):998-1004. doi: 10.1002/jmri.25484. Epub 2016 Sep 20.
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