Alveolar rhabdomyosarcoma of the anterior mediastinum with vessel invasion in a 4-month-old boy: A case report
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摘要Introduction: Alveolar rhabdomyosarcomas of the mediastinum in children are rarely reported. Multimodality therapy including chemotherapy, surgery and radiotherapy make up the backbone of the treatment of childhood rhabdomyosarcomas. Complete resection whenever achievable is an important prognostic factor. However, complete resection of tumors in the mediastinum often poses a unique challenge to thoracic surgeons due to their close proximity to important neurovascular structures. Complete resection may not always be possible and judicious peri-operative planning and preparation are required to avoid creating unnecessary surgical morbidities resulting in delay of adjuvant therapy. Case presentation: A 4-month-old Chinese baby boy was presented to our hospital with stridor, shortness of breath and episodes of cyanosis. Imaging studies found an anterior mediastinal mass compressing the trachea and other neurovascular structures and he was diagnosed to have alveolar rhabdomyosarcoma. Our patient received upfront chemotherapy and subsequently open resection of the mass was attempted via median sternotomy. Intraoperatively, the mass had invaded into the great vessels, precluding a complete resection. Debulking surgery was performed instead and our patient received timely postoperative chemoradiotherapy. Conclusions: We report a rare case of childhood alveolar rhabdomyosarcoma of the mediastinum with vascular invasion treated with chemoradiotherapy and debulking surgery. Complete resection was not possible due to the close proximity to the great vessels. Different surgical approaches to the mediastinum have been reported in adults and children alike. Regardless of the surgical access, the treatment of childhood rhabdomyosarcomas should be individualized, with careful balance between surgical clearance and surgical morbidity.
著者Chow S.C.Y., Wong R.H.L., Wan I.Y.P., To K.F., Wan S., Underwood M.J., Ng C.S.H.
期刊名稱Journal of Medical Case Reports
出版年份2015
月份7
日期17
卷號9
期次1
出版社BioMed Central
出版地United Kingdom
國際標準期刊號1752-1947
語言英式英語
關鍵詞Mediastinal tumor, Mediastinum, Pediatric, Rhabdomyosarcoma, Sternotomy

上次更新時間 2020-04-08 於 03:01