A rare case of cervical Rhabdomyosarcoma in an Adolescent- A case report
- Author:
Leek Mei Lim
1
;
Leek Mei Lim
2
;
Suguna Subramaniam
2
;
Tamilarasi Renganathan
3
;
Ana Vetriana Abd Wahab
4
Author Information
- Publication Type:Case Reports
- Keywords: Cervical Embryonal Rhabdomyosarcoma; ERMS; adolescent polyp; Paediatrics and adolescent gynecology; PAG; Fertility sparing surgery; case report
- From: Journal of Surgical Academia 2024;14(2):41-45
- CountryMalaysia
- Language:English
- Abstract: A rare case of cervical Rhabdomyosarcoma in an Adolescent- A case report:We present a rare case of cervical embryonic rhabdomyosarcoma (ERMS) in adolescents, managed with fertility-sparing surgery and chemotherapy. This type of malignant tumour is rare, and the management is not codified. A 15-year-old girl presented with a tongue-like mass per vagina and abnormal discharge. She underwent vaginoscopy under anaesthesia, which revealed a polyp from the endocervix. Hysteroscopic resection was performed, and histopathology showed ERMS. Postoperative imaging suggests the presence of residual local disease without evidence of distant metastasis. A multidisciplinary team (MDT) meeting was conducted, and the family opted for fertility-sparing management. The patient underwent repeat hysteroscopy-guided local excision, followed by eight cycles of chemotherapy, with close surveillance. In conclusion, polyps are rather odd in adolescents; malignancy should always be suspected. Fertility-sparing surgery with chemotherapy is a plausible option in well-selected cases.
- Full text:2026072215454074664A Rare Case of Cervical.pdf
