Romanian Journal of Pediatrics (Sep 2019)

Abdominopelvic tumor mass in adolescent – a case report

  • Irina Mihaela Ciomaga,
  • Madalina Mardare,
  • Stefana Cristina Dupa,
  • Cristina Alexa,
  • Doina Mihaila,
  • Elena Tarca,
  • Nicolai Nistor

DOI
https://doi.org/10.37897/RJP.2019.3.7
Journal volume & issue
Vol. 68, no. 3
pp. 188 – 192

Abstract

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A palpable mass in the abdominopelvic region in a teenager has usually severe manifestation. If we deal with such a mass, it must be stated whether it is malignant and if it is associated with the compression of the neighboring organs. Such a mass is most often discovered when the volume of the abdomen is increased, appears poor general condition or digestive or urinary symptoms. The authors present the case of a 16-year-old adolescent who was admitted for the lumbar back pain, functional impotence of the right inferior limb and a tumor mass in the right iliac fossa 5 months prior. Physical examination, laboratory tests, imaging and pathology exams have revealed the diagnosis of rhabdomyosarcoma, embryonal type. The lack of communication between the teenager and the family delayed hospital presentation when the rhabdomyosarcoma was already at the terminal stage with pulmonary and bone metastases, with negative prognosis.

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