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Ramaswamy R, Ali E, Ghalib SS, Mukattash G. Hemoperitoneum Due to Ruptured Botryoid Sarcoma of the Uterus in Young Girl. J Indian Assoc Pediatr Surg 2021; 26:262-264. [PMID: 34385773 PMCID: PMC8323582 DOI: 10.4103/jiaps.jiaps_131_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2020] [Revised: 06/07/2020] [Accepted: 07/07/2020] [Indexed: 12/02/2022] Open
Abstract
Five-year-old girl presented with lower abdominal pain, pelvi-abdominal mass, and generalized abdominal tenderness. Ultrasound and computed tomography scans diagnosed heterogeneous pelvi-abdominal soft-tissue mass and a large amount of free peritoneal fluid. Laparotomy revealed hemoperitoneum and ruptured tumor at the posterior uterine wall. Histopathology report was botryoid rhabdomyosarcoma (BRMS). This case is unique due to ruptured BRMS of the uterus in early childhood, with no vaginal bleeding.
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Affiliation(s)
- Rajendran Ramaswamy
- Department of Pediatric Surgery, Maternity and Children's Hospital (Under Ministry of Health), Najran, Saudi Arabia
| | - Elsayed Ali
- Department of Pediatric Surgery, Maternity and Children's Hospital (Under Ministry of Health), Najran, Saudi Arabia
| | - Saif Saeed Ghalib
- Department of Pediatric Surgery, Maternity and Children's Hospital (Under Ministry of Health), Najran, Saudi Arabia
| | - Ghazi Mukattash
- Department of Pediatric Surgery, Maternity and Children's Hospital (Under Ministry of Health), Najran, Saudi Arabia
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2
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Sardinha MGP, Ramajo FM, Ponce CC, Marques CF, Bittencourt CMF, Caldano FG, Moço JMFL, Yano ODL, Reis PMDR, Malaguti VS, de Sousa CTRG, Nogueira RC. Uterine cavity embryonal rhabdomyosarcoma. AUTOPSY AND CASE REPORTS 2019; 9:e2019104. [PMID: 31372362 PMCID: PMC6629268 DOI: 10.4322/acr.2019.104] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2019] [Accepted: 06/17/2019] [Indexed: 11/23/2022] Open
Abstract
Rhabdomyosarcoma (RMS) is a rare solid tumor in childhood and adolescence. The higher incidence is predominant during the first two decades of life. According to the Intergroup RMS Study Group, the embryonal RMS (ERMS), botryoidal variant, constitutes a histological subtype characterized as a “grape-like” lesion of 2.0 cm to 9.5 cm. The treatment involves chemotherapy, surgery, and/or radiotherapy. We present the case of a 14-year-old female patient diagnosed with ERMS, botryoidal variant, which originated in the uterine cervix with vaginal externalization. The initial therapeutic approach comprised an initial prolapsed mass excision followed by Wertheim–Meigs surgery due to the tumor extension. No consensual protocol to ERMS treatment is found in the medical literature; however, a combined approach seems to offer a better result. The postoperative time period was uneventful and the patient followed an adjuvant therapy with vincristine, d-actinomycin, and cyclophosphamide. A comprehensive evaluation of the therapeutic options preserving the reproductive function—unfortunately not always possible—is part of a multi-disciplined care team concerning the pediatric patients.
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3
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Is fertility-preservation safe for adult non-metastatic gynecologic rhabdomyosarcoma patients? Systematic review and pooled survival analysis of 137 patients. Arch Gynecol Obstet 2017; 297:559-572. [DOI: 10.1007/s00404-017-4591-6] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2017] [Accepted: 11/10/2017] [Indexed: 11/26/2022]
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Neha B, Manjunath AP, Girija S, Pratap K. Botryoid Rhabdomyosarcoma of the Cervix: Case report with review of the literature. Sultan Qaboos Univ Med J 2015; 15:e433-7. [PMID: 26357564 DOI: 10.18295/squmj.2015.15.03.022] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2014] [Revised: 03/08/2015] [Accepted: 03/29/2015] [Indexed: 11/16/2022] Open
Abstract
Botryoid rhabdomyosarcoma is an aggressive malignancy that arises from embryonal rhabdomyoblasts. It is commonly seen in the genital tract of female infants and young children. Due to the young age of affected patients, this malignancy poses a management challenge as the preservation of hormonal, sexual and reproductive function is essential. There is currently no consensus regarding management. However, treatment strategies for these tumours have evolved from radical exenterative surgeries to more conservative management options. We report a case of botryoid rhabdomyosarcoma in an adolescent girl presenting to Kasturba Hospital, in Manipal, India, in August 2007 with botryoid rhabdomyosarcoma of the cervix. She was treated with surgery and adjuvant chemotherapy. The patient remained healthy until eight months after the surgery. After acquiring a varicella zoster virus infection, she died due to septic shock and multiple organ failure. Awareness of such an uncommon lesion and its clinical implications is important to avoid misdiagnosis.
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Affiliation(s)
- Bajpai Neha
- Department of Obstetrics & Gynaecology, Kasturba Medical College, Manipal, India
| | - Attibele P Manjunath
- Department of Obstetrics & Gynaecology, Sultan Qaboos University Hospital, Muscat, Oman
| | - Shivarudraiah Girija
- Department of Obstetrics & Gynaecology, Sultan Qaboos University Hospital, Muscat, Oman
| | - Kumar Pratap
- Department of Obstetrics & Gynaecology, Kasturba Medical College, Manipal, India
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5
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Meseci E, Onculoglu C, Ince U, Teomete M, Eser SK, Demirkıran F. Embryonal rhabdomyosarcoma of the uterine cervix in a pregnant woman. Taiwan J Obstet Gynecol 2015; 53:423-5. [PMID: 25286807 DOI: 10.1016/j.tjog.2013.10.042] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/23/2013] [Indexed: 10/24/2022] Open
Affiliation(s)
- Elif Meseci
- Department of Obstetrics and Gynecology, Acıbadem Kozyatagı Hospital, Inonu Cd. Okur S. Number 20, Kozyatagı 34742, Istanbul, Turkey.
| | - Cem Onculoglu
- Department of Obstetrics and Gynecology, Acıbadem Kozyatagı Hospital, Inonu Cd. Okur S. Number 20, Kozyatagı 34742, Istanbul, Turkey
| | - Umit Ince
- Department of Pathology, Acıbadem Kozyatagı Hospital, Inonu Cd. Okur S. Number 20, Kozyatagı 34742, Istanbul, Turkey
| | - Mehmet Teomete
- Department of Medical Oncology, Acıbadem Kozyatagı Hospital, Inonu Cd. Okur S. Number 20, Kozyatagı 34742, Istanbul, Turkey
| | - Semra Kayatas Eser
- Department of Obstetrics and Gynecology, Zeynep Kamil Education and Training Hospital, Zeynep Kamil Mahallesi, Dr. Burhanettin Ustunel Sokak Numbers 3-4, Uskudar 34668, Istanbul, Turkey
| | - Fuat Demirkıran
- Division of Gynecologic Oncology, Istanbul University Cerrahpasa Medical School, 34098 Cerrahpasa-Fatih, Istanbul, Turkey
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6
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Ayas S, Uygur L, Bostanci E, Gürbüz A. A successful pregnancy during the treatment of cervical sarcoma botryoides and advantage of fertility sparing management: A case report. IRANIAN JOURNAL OF REPRODUCTIVE MEDICINE 2015; 13:113-6. [PMID: 26000001 PMCID: PMC4426149] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/12/2014] [Accepted: 10/08/2014] [Indexed: 11/23/2022]
Abstract
BACKGROUND Sarcoma botryoides of cervix is a rare variant of rhabdomyosarcomas (RMS) of female genital tract. It is usually diagnosed in first or second decade of life. In this case report, we aimed to present a 21 year-old nulligravid patient who was diagnosed with embryonal RMS of the cervix, to discuss the treatment options that have been stated in the literature, and to highlight the advantage of fertility sparing management in these young patients. CASE We report a 21-year-old nulligravid woman complaining about a mass protruding from introitus, which was represented with a 8×7 cm "grape-like" cervical polyp on speculum examination. The histopathologic examination of the biopsy taken was combined with immunohistochemical staining with desmin, myogenin, S100, vimentin, and myoglobin. Colposcopy, second biopsy, and positron emission tomography were used during the follow-up. The histopathologic examination revealed embryonal RMS of cervix. She received three cycles of combination chemotherapy, doxorubicin and ifosfamide. She refused to have a surgery because of an unplanned, desired pregnancy at two months after the chemotherapy. She was lost during the follow-up. After having an uneventful pregnancy and a successful delivery, she reapplied at postpartum 6(th) month. Colposcopic evaluation revealed a local polypoid area, the histopathologic examination of biopsy suggested recurrence even though positron emission tomography scans were unremarkable. Therefore complementary treatment was planned as conization and pelvic lymphadenectomy. The histopathology revealed no residual tumor on the conization material and no involvement of pelvic lymph nodes. CONCLUSION Fertility sparing management, including doxorubicin and ifosfamid combination in chemotherapy step, can be management option. Pregnancy and successful delivery is possible during the treatment. Colposcopy has importance for early detection of recurrences.
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Affiliation(s)
- Selçuk Ayas
- Department of Obstetrics and Gynecology, Zeynep Kamil Women and Children Diseases Research and Training Hospital, Turkey.
| | - Lutfiye Uygur
- Department of Obstetrics and Gynecology, Zeynep Kamil Women and Children Diseases Research and Training Hospital, Turkey.
| | - Evrim Bostanci
- Department of Obstetrics and Gynecology, Zeynep Kamil Women and Children Diseases Research and Training Hospital, Turkey.
| | - Ayşe Gürbüz
- Department of Gynecology, Kadıköy Florence Nightingale Hospital, Turkey.
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7
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Li RF, Gupta M, McCluggage WG, Ronnett BM. Embryonal rhabdomyosarcoma (botryoid type) of the uterine corpus and cervix in adult women: report of a case series and review of the literature. Am J Surg Pathol 2013; 37:344-55. [PMID: 23348207 DOI: 10.1097/pas.0b013e31826e0271] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
In its classical form, embryonal rhabdomyosarcoma (ERMS, botryoid type) is a vaginal neoplasm occurring in infants and young girls and is often not considered in the differential diagnosis of uterine corpus and cervical spindle cell tumors in adult women. Clinicopathologic and immunohistochemical features of 25 cases of ERMS in women 20 years of age or older were analyzed. Patient age ranged from 20 to 89 years (mean, 44.4 y; median, 46 y), with 8 patients aged 20 to 39 years, 14 patients aged 40 to 59 years, and 3 patients older than 60 years of age. Tumors originated in the cervix in 20 cases and in the uterine corpus in 5. They were characterized by an edematous hypocellular spindle cell proliferation, typically with cellular condensation beneath epithelial surfaces (cambium layer), in which tightly packed hypercellular foci were scattered. Neoplastic cells had hyperchromatic nuclei and minimal cytoplasm, usually with delicate cytoplasmic processes. Occasionally, elongated or globular cells with eosinophilic cytoplasm (rhabdomyoblasts) were evident, but cytoplasmic cross-striations were only rarely identified. Apoptotic bodies and mitotic figures were usually identified in the hypercellular foci. Hemorrhage was common, often making recognition of the hypercellular foci difficult. Desmin and myogenin were coexpressed in 22 of 23 (95.6%) tumors evaluated. Proliferative activity, as assessed by Ki-67 expression, was notably elevated in all tumors evaluated, typically concentrated in the hypercellular foci. Estrogen and progesterone receptors were expressed focally in only 3 of 12 (25%) and 1 of 8 (12.5%) tumors evaluated, respectively. Follow-up was available in 7 cases. Five patients were alive without evidence of disease with follow-up of 3 to 8 years, and 1 patient was alive with disease at 5 months. One patient died at 5 months with pulmonary nodules, but it was not determined whether this was due to metastatic ERMS or the patient's known ductal breast carcinoma. ERMS has a broader clinical profile than classically expected and should be considered in the differential diagnosis of a uterine corpus or cervical spindle cell tumor, regardless of patient age. Recognition can be rendered difficult by the hypocellular background, which can suggest a benign polyp or low-grade tumor, and hemorrhage, which can obscure the characteristic hypercellular foci. Identification of hypercellular foci in which mitotic activity and apoptotic bodies are found, desmin and myogenin are coexpressed, proliferative activity is notably elevated, and hormone receptor expression is usually absent is very useful for establishing the diagnosis.
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Affiliation(s)
- Rose Fanghong Li
- Department of Pathology, The Johns Hopkins University School of Medicine and Hospital, Baltimore, MD 21231, USA
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8
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Mousavi A, Akhavan S. Sarcoma botryoides (embryonal rhabdomyosarcoma) of the uterine cervix in sisters. J Gynecol Oncol 2010; 21:273-5. [PMID: 21278891 DOI: 10.3802/jgo.2010.21.4.273] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2010] [Revised: 02/01/2010] [Accepted: 02/07/2010] [Indexed: 11/30/2022] Open
Abstract
Sarcoma botryoides (embryonal rhabdomyosarcoma) rarely arises in the uterine cervix. We report a case of a 14-year-old female with sarcoma botryoides who presented with prolonged vaginal bleeding and cervical polyp. The biopsy specimen confirmed sarcoma botryoides. The patient underwent radical surgery of the tumor and hysterectomy without adjuvant chemotherapy. The sister of the patient had died previously due to the same diagnosis at the age of 17. We achieved a satisfactory outcome in short-term period with radical surgery and hysterectomy. Presence of sarcoma botryoides of the cervix in two sisters in the family highlights the possible role of genetic factors in the development of sarcoma botryoides.
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Affiliation(s)
- Azamsadat Mousavi
- Department of Gynecology Oncology, Tehran University of Medical Sciences, Tehran, Iran
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9
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Wright JD, Shah M, Mathew L, Burke WM, Culhane J, Goldman N, Schiff PB, Herzog TJ. Fertility preservation in young women with epithelial ovarian cancer. Cancer 2009; 115:4118-26. [PMID: 19670446 DOI: 10.1002/cncr.24461] [Citation(s) in RCA: 100] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
BACKGROUND Surgical management of ovarian cancer consists of hysterectomy with bilateral oophorectomy. In young women, this results in the loss of reproductive function and estrogen deprivation. In the current study, the authors examined the safety of fertility-conserving surgery in premenopausal women with epithelial ovarian cancers. METHODS Women aged<or=50 years with stage IA or IC epithelial ovarian cancer who were registered in the Surveillance, Epidemiology, and End Results database were examined. Patients who underwent bilateral oophorectomy were compared with those who underwent ovarian conservation. A second analysis examined uterine conservation versus hysterectomy. Multivariate Poisson regression models were developed to describe predictors of fertility preservation. Survival was examined using Cox proportional hazards models and the Kaplan-Meier method. RESULTS In total, 1186 women, including 754 women (64%) who underwent bilateral oophorectomy and 432 women (36%) who underwent ovarian preservation, were identified. Younger age, later year of diagnosis, and residence in the eastern or western United States were associated with ovarian preservation (P<.05 for all). Women with endometrioid and clear cell histologies and stage IC disease were less likely to have ovarian conservation (P<.05). In a Cox model, ovarian preservation had no effect on survival (hazard ratio [HR], 0.69; 95% confidence interval [CI], 0.39-1.20). Young age, later year of diagnosis, residence in the eastern or western United States, single women, mucinous tumors, and patients with stage IA disease were more likely to have uterine preservation (P<.05 for all). In a multivariate model, uterine preservation had no effect on survival (HR, 0.87; 95% CI, 0.62-1.22). CONCLUSIONS Ovarian and uterine-conserving surgery were safe in young women who had stage IA and IC epithelial ovarian cancer.
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Affiliation(s)
- Jason D Wright
- Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Columbia University College of Physicians and Surgeons, and Herbert Irving Comprehensive Cancer Center, New York-Presbyterian Hospital, New York, New York 10032, USA.
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10
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Pediatric radical abdominal trachelectomy for anaplastic embryonal rhabdomyosarcoma of the uterine cervix: an alternative to radical hysterectomy. J Pediatr Surg 2009; 44:862-7. [PMID: 19361657 PMCID: PMC4989909 DOI: 10.1016/j.jpedsurg.2008.11.038] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/06/2008] [Revised: 11/10/2008] [Accepted: 11/10/2008] [Indexed: 01/01/2023]
Abstract
Rhabdomyosarcoma arising in the female genital tract carries 5-year survival in excess of 80%, but lifelong infertility may be a consequence of local control strategies. We present the technique and outcome for a fertility-sparing, radical abdominal trachelectomy in a 12-year-old girl with anaplastic, embryonal rhabdomyosarcoma involving the uterine cervix. The patient had presented to our center after the piecemeal resection of a uterine cervical mass; because of concern about microscopic residual disease, we classified her as group II-A according to the Intergroup Rhabdomyosarcoma Study system. Staging studies excluded the presence of distant disease. The patient received 4 cycles of multiagent chemotherapy and then underwent radical abdominal trachelectomy, with removal of the uterine cervix, parametria, vaginal cuff, and regional lymph nodes. Microscopically, the specimen showed treatment effect and no residual tumor. Regional nodes were negative. Radical abdominal trachelectomy, which has not been previously reported for rhabdomyosarcoma, has appeared to secure local disease control in this case while preserving the patient's future fertility potential. In properly selected cases of rhabdomyosarcoma of the uterine cervix, where involvement of the uterus proper is not present, radical abdominal trachelectomy may be an attractive fertility-sparing alternative to radical hysterectomy.
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Scaravilli G, Simeone S, Dell'Aversana Orabona G, Capuano S, Serao M, Rossi R, Orabona P, Balbi C. Case report of a sarcoma botryoides of the uterine cervix in fertile age and literature review. Arch Gynecol Obstet 2009; 280:863-6. [PMID: 19294398 DOI: 10.1007/s00404-009-1022-3] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2008] [Accepted: 02/19/2009] [Indexed: 11/25/2022]
Affiliation(s)
- Giuseppina Scaravilli
- Department of Obstetrics and Gynecology, Second University of Naples, Via Palasciano, AORN Sant'Anna e S. Sebastiano, 81100 Caserta, Italy.
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Bernal KL, Fahmy L, Remmenga S, Bridge J, Baker J. Embryonal rhabdomyosarcoma (sarcoma botryoides) of the cervix presenting as a cervical polyp treated with fertility-sparing surgery and adjuvant chemotherapy. Gynecol Oncol 2004; 95:243-6. [PMID: 15385139 DOI: 10.1016/j.ygyno.2004.06.049] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2003] [Indexed: 11/23/2022]
Abstract
BACKGROUND Embryonal rhabdomyosarcoma (sarcoma botryoides) of the female genital tract is rare in the cervix. It tends to occur in children and young women, and appears to have a better prognosis than sarcoma botryoides of the vagina and uterus. CASE We report a case of embryonal rhabdomyosarcoma (sarcoma botryoides) presenting as a cervical polyp in a 19-year-old female. The tumor was composed of rhabdomyoblasts of varying differentiation dispersed within a loose, myxoid stroma, and formed a distinct 'cambium' layer beneath the epithelium. The patient was successfully treated with fertility-sparing surgery and adjuvant chemotherapy. CONCLUSIONS Awareness of this uncommon lesion in this site and its clinical implications is important to avoid misdiagnosis. Therapy has recently inclined towards conservative treatment.
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Affiliation(s)
- Kerry L Bernal
- Department of Pathology/Microbiology, University of Nebraska Medical Center, Omaha, Nebraska 58198, USA.
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14
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Giacalone PL, Deisseignet PH, Roger P, Taourel P, Vernet H, Laffargue F. Pre-operative arterial embolisation of a uterine rhabdomyosarcoma in a 14-year-old girl. Br J Radiol 2004; 77:701-3. [PMID: 15326055 DOI: 10.1259/bjr/31755088] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
We report a young patient suffering from a uterine rhabdomyosarcoma. Particular features of the present case are: accuracy of the tumour spread evaluation performed by MRI of the pelvis; and the use of pre-operative arterial embolisation. The present multimodal management highlights the usefulness of cooperation between surgeons and radiologists in lowering operative bleeding and finally permitting uterine conservation.
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Affiliation(s)
- P L Giacalone
- Oncology Unit, Department of Obstetrics and Gynaecology, Hôpital Arnaud de Villeneuve, 371 rue du Doyen Gaston Giraud, 34295 Montpellier, France
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Saâdi I, Errihani H, Haddadi K, Amaoui B, Benjaafar B, El Gueddari BK. [Sarcoma botryoïde of the uterine cervix: report of a case]. Cancer Radiother 2002; 6:363-5. [PMID: 12504774 DOI: 10.1016/s1278-3218(02)00256-1] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Botryoïde sarcoma of the uterine cervix is a very rare tumor of the young woman or during genial activity. Less than 100 cases have been reported in the literature. The treatment ranged from radical surgery to conservative surgery followed by chemotherapy. We report a case of cervical botryoide rhabdomyosarcoma occurred in a 33 year-old woman treated primary by chemotherapy followed by surgery and adjuvant chemotherapy. The patient died by extensive metastatic retroperitoneal nodes and lung.
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Affiliation(s)
- I Saâdi
- Service de radiothérapie, institut national d'oncologie, BP 6213 RI, Rabat, Maroc.
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16
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Zrara I, Mounzil CD, Rimani M, Bouzidi A, Labraimi A, Ben Omar C. [Botryoide sarcoma of the uterine cervix. Apropos of 1 case]. GYNECOLOGIE, OBSTETRIQUE & FERTILITE 2002; 30:784-6. [PMID: 12478984 DOI: 10.1016/s1297-9589(02)00484-8] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Sarcoma botryoide (SB), a variant of rhabdomyosarcoma, is a rare tumor who are rarely localized in the uterine cervix. Only 99 cases have been described to date. The authors reported this case with review of the literature in order to insist on diagnosis progress and a new combined modality approach using: radiotherapy, surgery and chemotherapy which have improved prognosis in the localized disease especially.
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Affiliation(s)
- I Zrara
- Service d'anatomie pathologique, Hôpital militaire d'instruction Mohamed V, Rabat, Maroc
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