Gras Albert J R, Hurtado García J F, Talavera Sánchez J, Marco P
Hospital General Universitario de Alicante.
An Otorrinolaringol Ibero Am. 1995;22(1):21-30.
The progress of Rahbdomyosarcoma (RMS) of the nasopharynx succeed frequently as infiltrative and destructive form to the base of the skull, in which case its prognostic is worse as when localized somewhere else. We report the case of a RMS in a 4-year-old child. The tumour infiltrating the base of the skull (stage III), was treated with chemotherapy only because the neighbourhood of the sella turcica and the pituitary gland strongly forbids the appeal to radiotherapy, in order to avoid untoward side-effects on this gland and also upon the growth of the child. At present, 10 years after, he remains asymptomatic and free of the tumour. Computered tomography has probe to be the best way to study the site and the extent of this growth and even the control of course of treatment.
鼻咽横纹肌肉瘤(RMS)进展时常常呈浸润性和破坏性,累及颅底,这种情况下其预后比肿瘤位于其他部位时更差。我们报告一例4岁儿童的RMS病例。肿瘤浸润颅底(Ⅲ期),仅接受了化疗,因为蝶鞍和垂体附近的部位强烈禁止放疗,以避免对该腺体以及儿童生长产生不良副作用。目前,10年后,他仍无症状且无肿瘤。计算机断层扫描已被证明是研究这种肿瘤的部位和范围以及监测治疗过程的最佳方法。