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Nazmul H, Rafiqul I, Kaniz F, Maimuna S, Md. WM, ASM BK, Bishnu PD. [Rhabdomyosarcoma of the common bile duct mimicking choledochal cyst: a rare cause of obstructive jaundice]. ZHONGGUO DANG DAI ER KE ZA ZHI = CHINESE JOURNAL OF CONTEMPORARY PEDIATRICS 2020; 22:1338-1343. [PMID: 33328007 PMCID: PMC7735933 DOI: 10.7499/j.issn.1008-8830.2007118] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 07/15/2020] [Accepted: 10/16/2020] [Indexed: 06/12/2023]
Abstract
Extrahepatic biliary tract tumors are rare and among them rhabdomyosarcoma is most common. Rhabdomyosarcoma is a soft tissue malignant musculoskeletal tumor and is a very rare malignancy of the common bile duct in children. It usually presents as obstructive jaundice and/or pruritus. If there is no local invasion to the adjacent tissues, the radiological appearance of the tumor lesion is like a choledochal cyst. So the diagnosis is usually made at surgery or by preoperative biopsy. It is important to diagnose early and differentiate it from choledochal cyst and start treatment as early as possible for long time survival of the patient. This case report presented a case of a 10-year-old boy with recurrent onset of obstructive jaundice and fever preoperatively who was diagnosed as choledochal cyst and postoperatively as embryonal rhabdomyosarcoma of the common bile duct. After surgical resection and postoperative chemotherapy, the child had a good prognosis. So it is crucial to know that this rare tumor can mimic congenital choledochal cyst and it should be considered in the differential diagnosis of obstructive jaundice in children.
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Affiliation(s)
- Hassan Nazmul
- Department of Pediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib Medical University, Dhaka, BangladeshDepartment of Pediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib MedicalUniversity, Dhaka, Bangladesh
| | - Islam Rafiqul
- Department of Pediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib Medical University, Dhaka, BangladeshDepartment of Pediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib MedicalUniversity, Dhaka, Bangladesh
| | - Fathema Kaniz
- Department of Pediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib Medical University, Dhaka, BangladeshDepartment of Pediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib MedicalUniversity, Dhaka, Bangladesh
| | - Sayeed Maimuna
- Department of Pediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib Medical University, Dhaka, BangladeshDepartment of Pediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib MedicalUniversity, Dhaka, Bangladesh
| | - Wahiduzzaman Mazumder Md.
- Department of Pediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib Medical University, Dhaka, BangladeshDepartment of Pediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib MedicalUniversity, Dhaka, Bangladesh
| | - Bazlul Karim ASM
- Department of Pediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib Medical University, Dhaka, BangladeshDepartment of Pediatric Gastroenterology and Nutrition, Bangabandhu Sheikh Mujib MedicalUniversity, Dhaka, Bangladesh
| | - Pada Dey Bishnu
- Department of Pathology, Faculty of Basic Science and Paraclinical Science, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
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Une choléstase causée par un rhabdomyosarcome botryoïde du cholédoque chez un nourrisson de 22 mois. Ann Pathol 2008; 28:45-8. [DOI: 10.1016/j.annpat.2007.10.003] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/09/2007] [Indexed: 11/24/2022]
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Tireli GA, Sander S, Dervisoglu S, Demirali O, Unal M. Embryonal rhabdomyosarcoma of the common bile duct mimicking choledochal cyst. ACTA ACUST UNITED AC 2005; 12:263-5. [PMID: 15995817 DOI: 10.1007/s00534-004-0959-7] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2004] [Accepted: 11/15/2004] [Indexed: 12/17/2022]
Abstract
Embryonal rhabdomyosarcoma of the common bile duct is a very rare malignancy of childhood. The radiological appearance of the lesion is similar to that of congenital choledochal cyst if there is no local invasion to the adjacent tissues. The authors present a case of embryonal rhabdomyosarcoma of the common bile duct which was considered to be a congenital choledochal cyst preoperatively, and they discuss this very rare childhood tumor, with a brief survey of the literature. In conclusion, it is important to know that this rare tumor can simulate congenital choledochal cyst; it should be considered in the differential diagnosis of obstructive jaundice in children.
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Affiliation(s)
- Gulay A Tireli
- Department of Pediatric Surgery, SSK Bakirkoy Maternity and Children's Hospital, Istanbul, Turkey
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Andiran F, Tanyel FC, Kale G, Akhan O, Akçören Z, Hiçsönmez A. Obstructive jaundice resulting from adenocarcinoma of the ampulla of Vater in an 11-year-old boy. J Pediatr Surg 1997; 32:636-7. [PMID: 9126774 DOI: 10.1016/s0022-3468(97)90727-2] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
Adenocarcinoma of ampulla of Vater causing obstructive jaundice in an 11-year-old boy is reported. He first underwent pylorus-preserving duodenectomy, which later necessitated classical Whipple operation because of the microscopical evidence of the disease beyond surgical margins. This child is the youngest case of adenocarcinoma of ampulla of Vater in the English-language literature.
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Affiliation(s)
- F Andiran
- Department of Pediatric Surgery, Hacettepe University, Children's Hospital, Ankara, Turkey
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Kim WS, Choi BI, Lee YS, Chi JG, Park HR, Kim I, Yeon KM, Han MC. Endodermal sinus tumour associated with benign teratoma of the common bile duct. Pediatr Radiol 1993; 23:59-60. [PMID: 8469596 DOI: 10.1007/bf02020227] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
We report a 5-year-old boy with endodermal sinus tumour associated with benign cystic teratoma of the common bile duct (CBD). To our knowledge, there has been one case of teratoma of the CBD in the English literature with no morphological or radiological description. Our case presented a lobulated polypoid mass obstructing the distal CBD on sonography and computed tomography, which resembled the botryoid masses of rhabdomyosarcoma.
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Affiliation(s)
- W S Kim
- Department of Radiology, Seoul National University College of Medicine, Korea
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