Choi Youngwoong, Sung Ki Pyo, Lee Soo Hyang
Department of Plastic and Reconstructive Surgery, Inje University Ilsan Paik Hospital, Goyang, Korea.
Arch Craniofac Surg. 2023 Aug;24(4):185-188. doi: 10.7181/acfs.2023.00052. Epub 2023 Aug 20.
Rhabdomyosarcoma is the most common soft tissue sarcoma in children, accounting for 4.5% of all cases of cancer in childhood. Although the head and neck are the most common sites of rhabdomyosarcoma, oral lesions are relatively rare and account for only 10% to 12% of head and neck rhabdomyosarcoma cases. This is a case report of a girl aged 2 years and 1 month who initially presented with an upper lip mass that invaded the oral mucosa, oral skin, and nostril skin, causing narrowing of the airway. Through our case, we show that rapidly growing small round cell malignancies, especially rhabdomyosarcoma, can be effectively diagnosed and treated at the same time using primary resection with intraoperative frozen section biopsy and that the time spent waiting for the results of preoperative biopsy can be saved in this way, particularly when the patient's symptoms are intensifying rapidly and require immediate operation.
横纹肌肉瘤是儿童最常见的软组织肉瘤，占儿童所有癌症病例的4.5%。虽然头颈部是横纹肌肉瘤最常见的部位，但口腔病变相对罕见，仅占头颈部横纹肌肉瘤病例的10%至12%。本文报告了一名2岁1个月的女孩，最初表现为上唇肿物，侵犯口腔黏膜、口腔皮肤和鼻孔皮肤，导致气道狭窄。通过我们的病例表明，对于快速生长的小圆细胞恶性肿瘤，尤其是横纹肌肉瘤，可通过术中冰冻切片活检的一期切除同时进行有效诊断和治疗，这样可以节省等待术前活检结果的时间，特别是当患者症状迅速加重且需要立即手术时。
