Radiology Case Reports (Aug 2023)

Orbital rhabdomyosarcoma in a 19-year-old male patient: A case report and literature review

  • Ta Hong Nhung, MD,
  • Vu Le Minh, MD,
  • Tran Thi Tuyet, MD,
  • Thieu Manh Cuong, MD,
  • Ngo Le Lam, MD,
  • Hoang Thu Trang, MD,
  • Ngo Xuan Quy, MD,
  • Pham Minh Thong, MD, PhD,
  • Doan Kim Thanh, MD, PhD,
  • Nguyen Minh Duc, MD

Journal volume & issue
Vol. 18, no. 8
pp. 2744 – 2749

Abstract

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Rhabdomyosarcoma (RMS) is the most common mesenchymal tumor in children and adolescents, with 10% of cases occurring in the orbits. RMS should be suspected whenever children present with rapidly progressing unilateral exophthalmos. Its symptoms depend on the lesion's origin and location. We report the clinical case of a 19-year-old male patient admitted to the hospital because of blurred vision and bulging eyes that gradually increased over several months. Magnetic resonance imaging showed a mass located mainly in the left orbit, pushing and deforming but not invading the eyeball. The lesion had grown into the left ethmoid sinus wall. The histopathological incisional biopsy results were with alveolar RMS.

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