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Year : 2018  |  Volume : 4  |  Issue : 1  |  Page : 82-84

Embryonal rhabdomyosarcoma of the nasopharynx

Department of Radiology, St. John's Medical College, Bengaluru, Karnataka, India

Correspondence Address:
Dr. Reddy Ravikanth
St. John's Medical College, Bengaluru - 560 034, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/IJAM.IJAM_33_17

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Embryonal rhabdomyosarcoma has the second highest frequency in the head and neck region. A rare case of embryonal rhabdomyosarcoma in a 9-year-old male child involving nasopharynx with hydrocephalus is reported. The child presented with difficulty in breathing and swallowing with bleeding from nose and mouth. Local examination revealed a granular mass in the left nasal cavity. There was associated proptosis of the left eye. On probing, the mass was friable, nontender and did not bleed on touch. Posterior limit of the mass could not be assessed. Examination of throat showed smooth downward bulge of soft palate on the left side extending into the lateral wall of pharynx behind the posterior pillar of left tonsil. Examination under general anesthesia confirmed the presence and attachment of granular mass to the posterosuperior wall of the nasopharynx and filling the left choana as well. Fibrosarcoma, mucormycosis, nasal polyposis, juvenile nasal angiofibroma, and rhabdomyosarcoma of the nasopharynx were considered in the differential diagnosis. Nasal polyposis was excluded from the differentials after gating computed tomography (CT) scan report was obtained. Histopathology of the excised mass proved the diagnosis of rhabdomyosarcoma and CT scan of the brain showed communicating hydrocephalus. Treatment plan included multi-drug chemotherapy and debulking surgery. The following core competencies are addressed in this article: Medical knowledge, Patient care.

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