Isolated embryonal rhabdomyosarcoma of the anterior petrous bone in a young child : Focusing on the intra-operative diagnosis and differentials

OBJECTIVE: Rhabdomyosarcoma is a common soft tissue tumor, but isolated involvement of anterior portion of petrous bone is exceedingly rare. Here, we present a case of embryonal rhabdomyosarcoma involving the anterior petrous without involvement of the mastoid and middle ear.

PATIENT: A 6-year-old boy presented with a progressive right side lower motor neuron facial paresis for 1-month duration along with headache and recurrent vomiting episodes. Radiology showed a contrast-enhancing lesion involving the right petrous apex. He underwent craniotomy and excision of the lesion. Based on the frozen section, a diagnosis of rhabdomyosarcoma was rendered, and gross total resection could be achieved. Postoperative course was uneventful.

CONCLUSION: Isolated petrous bone involvement of embryonal rhabdomyosarcoma is a rare presentation. Intra-operative frozen section plays a key role in decision making regarding the extent of excision. Hence, a prompt and accurate diagnosis is essential in managing these cases.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:43

Enthalten in:

Clinical neuropathology - 43(2024), 2 vom: 12. März, Seite 48-52

Sprache:

Englisch

Beteiligte Personen:

Panda, Ipsita [VerfasserIn]
Bethanbhatla, Murali Krishna [VerfasserIn]
Gupta, Kirti [VerfasserIn]
Salunke, Pravin [VerfasserIn]

Links:

Volltext

Themen:

Case Reports
Journal Article

Anmerkungen:

Date Completed 11.04.2024

Date Revised 11.04.2024

published: Print

Citation Status MEDLINE

doi:

10.5414/NP301586

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM365758515