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Tkak H, Ghanam A, Belahcen M, Kamaoui I, Bennani A, Myri N, Elouali A, Rkain M, Babakhouya A, Benajiba N. Exceptional case of a hemangioma-like rabdomyosarcoma in the hand's palm. Radiol Case Rep 2024; 19:3508-3511. [PMID: 38881619 PMCID: PMC11179561 DOI: 10.1016/j.radcr.2024.05.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2024] [Revised: 05/02/2024] [Accepted: 05/06/2024] [Indexed: 06/18/2024] Open
Abstract
Rhabdomyosarcoma is a malignant tumor in children that might mimic a benign tumor, such as infantile hemangioma, particularly when detected early. Although rhabdomyosarcoma rarely occurs in the hand, its prognosis is generally poor, and successful treatment relies on a complete and radical surgical excision. We present a case of rhabdomyosarcoma located in the palm of an infant's hand, initially presenting clinical and radiological features suggestive of a vascular tumor. The resection of this mass was radical, and histological analysis and immunohistochemistry returned in favor of embryonic rhabdomyosarcoma. In similar cases recorded in the literature, the diagnosis may be first mistaken for that of a hemangioma, then confirmed by histology. This underlines the importance of a systematic anatomopathological examination of all tissues removed surgically.
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Affiliation(s)
- Hassnae Tkak
- Department of Pediatrics, University Hospital Mohamed VI, Faculty of Medicine and Pharmacy, University Mohamed first Oujda, Oujda, Morocco
| | - Ayad Ghanam
- Department of Pediatrics, University Hospital Mohamed VI, Faculty of Medicine and Pharmacy, University Mohamed first Oujda, Oujda, Morocco
| | - Mohamed Belahcen
- Pediatrics Surgery Department, Mohammed VI University Hospital, Oujda Faculty of Medicine and Pharmacy, Oujda, Morocco
| | - Imane Kamaoui
- Radiology Department, Mohammed VI University Hospital, Oujda Faculty of Medicine and Pharmacy, Oujda, Morocco
| | - Amal Bennani
- Anatomopathology Department, Mohammed VI University Hospital, Oujda Faculty of Medicine and Pharmacy, Oujda, Morocco
| | - Nadir Myri
- Anatomopathology Department, Mohammed VI University Hospital, Oujda Faculty of Medicine and Pharmacy, Oujda, Morocco
| | - Aziza Elouali
- Department of Pediatrics, University Hospital Mohamed VI, Faculty of Medicine and Pharmacy, University Mohamed first Oujda, Oujda, Morocco
| | - Maria Rkain
- Department of Pediatrics, University Hospital Mohamed VI, Faculty of Medicine and Pharmacy, University Mohamed first Oujda, Oujda, Morocco
| | - Abdeladim Babakhouya
- Department of Pediatrics, University Hospital Mohamed VI, Faculty of Medicine and Pharmacy, University Mohamed first Oujda, Oujda, Morocco
| | - Noufissa Benajiba
- Department of Pediatrics, Ibn Rochd Hospital University, Casablanca, Morocco
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Narayana Kurup JK, Kamble VC, Acharya AM, Bhat AK. Massive Embryonal Rhabdomyosarcoma of the Hand in an Infant With Metastasis at Birth: Management Dilemma. Hand (N Y) 2017; 12:NP109-NP112. [PMID: 28718313 PMCID: PMC5684939 DOI: 10.1177/1558944716685827] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Rhabdomyosarcomas are malignant tumors arising from striated muscle but can be often confused with primitive neuroectodermal tumors and Ewing sarcoma. They are often classified based on age of presentation and histological features. Three major types of rhabdomyosarcomas are embryonal, alveolar, and pleomorphic with characteristic presentations. METHOD Here, we present a case of embryonal rhabdomyosarcoma in the hand of a 5-month-old child with lymphatic metastasis, the age, site, and metastasis being unusual feature for this type of rhabdomyosarcoma. RESULT The child succumbed to the complications soon after initiation of chemotherapy. CONCLUSION Age, site, metastasis at birth and treatment related complications contribute to the poor outcome.
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Affiliation(s)
- Jayakrishnan K. Narayana Kurup
- Manipal University, India,Jayakrishnan K. Narayana Kurup, Hand and Microsurgery Unit, Department of Orthopedics, Kasturba Medical College, Manipal University, Manipal, Karnataka 576104, India.
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Abstract
After a brief discussion of the rarity of soft tissue sarcomas in children and of the limited ability of magnetic resonance imaging to provide a tissue diagnosis, this article discusses the incidence, presentation, treatment, prognosis, and imaging characteristics of the more common and unusual pediatric soft tissue sarcomas. It begins with extensive discussion of rhabdomyosarcoma, synovial sarcoma, and congenital/infantile fibrosarcoma. It then presents a more abbreviated discussion of uncommon tumors such as alveolar soft part sarcoma, epithelioid sarcoma, extraosseous Ewing's sarcoma, granulocytic sarcoma, hemangiopericytoma, liposarcoma, malignant fibrous histiocytoma, malignant peripheral nerve sheath tumor, and undifferentiated sarcoma.
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Affiliation(s)
- Rebecca Stein-Wexler
- Department of Radiology, University of California at Davis, Sacramento, CA 95817, USA.
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