Ran Tang, Gong Chen, Rui Dong, Shan Zheng
Department of Pediatric Surgery, Anhui Provincial Children's Hospital, Hefei, China.
Shanghai Key Laboratory of Birth Defect, Department of Pediatric Surgery, Children's Hospital of Fudan University, Shanghai, China.
Front Pediatr. 2024 Aug 7;12:1436446. doi: 10.3389/fped.2024.1436446. eCollection 2024.
Pediatric rhabdomyosarcoma of the biliary tract (BRMS) is extremely rare. Here, we present a case of a 2-year-old child who was initially misdiagnosed with choledocholithiasis upon admission. The diagnosis was later confirmed as BRMS through endoscopic retrograde cholangiopancreatography (ERCP). The patient was cured through surgery followed by chemotherapy. Due to the lack of specific early symptoms and the challenges in imaging differentiation, particularly in pediatric patients, clinical awareness of this condition needs to be heightened. Our findings indicate that ERCP is currently the optimal diagnostic tool for this disease, and a combination of surgery and chemotherapy can yield better therapeutic outcomes.
小儿胆道横纹肌肉瘤(BRMS)极为罕见。在此,我们报告一例2岁儿童病例,该患儿入院时最初被误诊为胆总管结石。后来通过内镜逆行胰胆管造影(ERCP)确诊为BRMS。患者通过手术及后续化疗得以治愈。由于缺乏特异性早期症状以及成像鉴别存在挑战,尤其是在儿科患者中,因此需要提高对这种疾病的临床认识。我们的研究结果表明,ERCP目前是诊断该疾病的最佳工具,手术与化疗相结合可产生更好的治疗效果。