Awad Baraa I, Kouther Dania A, Al-Garni Mohammed
Department of Otolaryngology-Head & Neck Surgery, King Saud Bin Abdulaziz University for Health Sciences College of Medicine, Jeddah, SAU.
Department of Otolaryngology-Head & Neck Surgery, King Abdullah International Medical Research Center, Jeddah, SAU.
Cureus. 2022 Oct 29;14(10):e30820. doi: 10.7759/cureus.30820. eCollection 2022 Oct.
Tongue rhabdomyosarcomas (RMSs) are extremely rare soft tissue tumors in the pediatric age group. The most common reported histopathology type is embryonal. To our knowledge, epithelioid type has not yet been reported in tongue RMSs. We report a case of an eight-year-old boy who presented with a painless tongue mass, and the biopsy demonstrated RMS epithelioid type. Head magnetic resonance imaging (MRI) was performed and showed peripherally enhancing mass with central cystic/necrotic component. Computed tomography (CT) scan of the neck showed involvement of the cervical lymph nodes, while metastatic workup was negative for malignancy. As the biopsy showed a positive margin, the patient underwent secondary resection. Moreover, he received adjuvant chemotherapy and radiotherapy. There was no evidence of the disease, and no metastasis was detected in a follow-up of three years. We also performed a literature review of pediatric tongue RMSs to assess the clinical presentation, histopathology, diagnosis, and management.
舌横纹肌肉瘤（RMSs）是儿科年龄组中极为罕见的软组织肿瘤。报道的最常见组织病理学类型是胚胎型。据我们所知，舌RMSs中尚未报道过上皮样型。我们报告一例8岁男孩，其表现为无痛性舌肿物，活检显示为上皮样型RMS。进行了头部磁共振成像（MRI）检查，显示肿物周边强化，中央有囊性/坏死成分。颈部计算机断层扫描（CT）显示颈部淋巴结受累，而转移检查未发现恶性肿瘤。由于活检显示切缘阳性，患者接受了二次切除。此外，他还接受了辅助化疗和放疗。没有疾病证据，在三年的随访中未检测到转移。我们还对儿童舌RMSs进行了文献综述，以评估临床表现、组织病理学、诊断和治疗。
