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A Case of Intratemporal Rhabdomyosarcoma in a Child Presenting with VIIth, IXth, and Xth Cranial Nerve Paralysis.
- Source :
- Tokai Journal of Experimental & Clinical Medicine; Jul2022, Vol. 47 Issue 2, p85-89, 5p
- Publication Year :
- 2022
-
Abstract
- Objective: Rhabdomyosarcoma is the most common soft tissue tumor in children, with average age of onset being 5 years, and approximately 70% cases diagnosed below 10 years of age. It accounts for 37% of primary head and neck malignancies in children. Chemotherapy with surgery, and radiation is selected as the primary treatment. We report a rare case of rhabdomyosarcoma in the temporal bone presenting with glossopharyngeal and vagus nerve paralysis as well as facial palsy. Case report: The patient was a 6-year-old boy, and his initial symptom was dizziness followed by facial palsy and hoarseness. Although a severe type of otitis media was suspected in the first clinic, CT and MRI showed a temporal bone tumor with parameningeal extension. Biopsy with cortical mastoidectomy revealed an embryonal-type rhabdomyosarcoma. Pretreatment re-excision was abandoned because of parameningeal involvement. The tumor disappeared after a series of chemotherapy, however, meningeal dissemination occurred, and he eventually died even after an additional administration of anti-cancer agents and intensive modulated radiation therapy. Conclusion: In the case of facial palsy concomitant with other cranial nerve paralysis, care must be taken into neoplastic origin. Early image diagnosis may offer a chance of complete resection in addition to chemo-radiotherapy. [ABSTRACT FROM AUTHOR]
- Subjects :
- RHABDOMYOSARCOMA
CHILDREN
GLOSSOPHARYNGEAL nerve
CHEMORADIOTHERAPY
VAGUS nerve
Subjects
Details
- Language :
- English
- ISSN :
- 03850005
- Volume :
- 47
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Tokai Journal of Experimental & Clinical Medicine
- Publication Type :
- Academic Journal
- Accession number :
- 157743184