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胚胎性横纹肌肉瘤——中耳鳞状细胞炎的模仿者。

Embryonal Rhabdomyosarcoma - A Mimicker of Squamosal Otitis Media.

作者信息

Bhandarkar Ajay, Menon Architha, Kudva Ranjini, Pujary Kailesh

机构信息

Department of Otorhinolaryngology , Kasturba Medical College, Manipal Academy of Higher Education Madhavnagar Manipal - 576104.

Department of Pathology, Kasturba Medical College, Manipal Academy of Higher Education Manipal.

出版信息

Iran J Otorhinolaryngol. 2020 Jan;32(108):57-61. doi: 10.22038/ijorl.2019.38807.2280.

Abstract

INTRODUCTION

Rhabdomyosarcoma is the most frequently occurring intrusive soft tissue sarcoma in the pediatric age group. Orbit is the most common location for a pediatric rhabdomyosarcoma, but it can occur in the oral cavity, pharynx, face and neck in the descending order of incidence. Rhabdomyosarcoma in the ear is extremely rare.

CASE REPORT

A 5-year-old girl presented to the outpatient department of our tertiary care hospital with complaints of foul smelling, non-blood stained right ear discharge of one-month duration and deviation of angle of mouth to the left side of acute onset. Investigations revealed a diagnosis of embryonal rhabdomyosarcoma. Multimodal therapy was carried out, and the child was rendered disease-free after two years.

CONCLUSION

Embryonal rhabdomyosarcoma of the head and neck mimics chronic otitis media. Early diagnosis is essential to deliver prompt treatment and prevent locoregional spread and metastasis.

摘要

引言

横纹肌肉瘤是儿童年龄组中最常见的侵袭性软组织肉瘤。眼眶是儿童横纹肌肉瘤最常见的发病部位,但也可按发病率由高到低依次发生于口腔、咽部、面部和颈部。耳部横纹肌肉瘤极为罕见。

病例报告

一名5岁女孩因持续1个月的右耳恶臭、非血性耳漏以及急性发作的口角向左偏斜,就诊于我们三级护理医院的门诊部。检查确诊为胚胎型横纹肌肉瘤。进行了多模式治疗,两年后患儿疾病痊愈。

结论

头颈部胚胎型横纹肌肉瘤易误诊为慢性中耳炎。早期诊断对于及时治疗、预防局部扩散和转移至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13ec/7007992/5072284467e9/ijo-32-057-g001.jpg

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