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    Go to the top of the page   ID: 20020122160347 Original case in english  More links about this topic on Pubmed (PubMed Reader)
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    Alveolar rhabdomyosarcoma (lower leg)
    G Hahn. Alveolar rhabdomyosarcoma (lower leg). PedRad [serial online] vol 2, no. 1.
    URL: www.PedRad.info/?search=20020122160347


     
     Pediatric Radiology CasesImages to this case: There are MRI-images available for this case. [ MRI ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    G. Hahn (Dresden)  

     
     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     
     Pediatric Radiology CasesAge:

    3 Years  

     
     Pediatric Radiology CasesGender:

    N/A  

     
     Pediatric Radiology CasesRegion-Organ:

    Leg-Muscular system / Connective tissue / Skin  

     
     Pediatric Radiology CasesMost likely etiology:

    neoplastic  

     
     Pediatric Radiology CasesHistory:

    Painless swelling of the right lower leg for 14 days in a 3 year-old child. Swelling was noticed by the parents.  

     
     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    N/A  

     
     Pediatric Radiology CasesRadiological findings:


    MRI 1 <- view MRI 1

    MRI 1: (T2-TIRM-Sequence):Signal intense, partly inhomogenic mass in the calf musclulature, which shows air-fluid levels.




    MRI 2 <- view MRI 2

    MRI 2: (T1): Signal intense mass in comparison to the muscles, also showing air-fluid levels.




    MRI 3 <- view MRI 3

    MRI 3: (T1 with IV contrast and fat saturation): Somewhat nodular, somewhat cystic areas of the tumor in the calf musculature. Spanning contact to the tibia without infiltration of the bone.




    MRI 4 <- view MRI 4

    MRI 4: (T1 with IV contrast and fat saturation)

    Ultrasound (not shown): In the musculature of the right calf, there was a spindle-like mass with measurements of 6.3 x 3.2 x 2.6 cm. The area showed an inhomogenic echo texture with small triangular liquid specks and was bound by a capsel-like wall. The area of the mass showed no muscle-like structures.


     

     
     Pediatric Radiology CasesDiagnosis confirmation:

    Surgery / Histo  

     
     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    Other soft-tissue tumors, particularly the synovial sarcoma.  

     
     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    Histological confirmation using DE. No complete surgery, since only a functionally impaired result would be awaited. During chemotherapy, the tumor decreased well. Now, radiation treatment with a possible second surgery.  

     
     Pediatric Radiology CasesComments of the author about the case:

    N/A  

     
     Pediatric Radiology CasesFirst description / History:

    N/A  

     
     Pediatric Radiology CasesLiterature:

    N/A  

     
     Pediatric Radiology CasesKeywords:

    Alveolary, rhabdomyosarcoma, Alveolar rhabdomyosarcoma, lower extremity, lower leg, calf, child, childhood, pediatric radiology  

     
     Pediatric Radiology Cases Cite this article:

    G Hahn. Alveolar rhabdomyosarcoma (lower leg). PedRad [serial online] vol 2, no. 1.
    URL: www.PedRad.info/?search=20020122160347  

     
     Pediatric Radiology Cases Read similar articles: with corresponding keywords
    in the same field: Leg-Muscular system / Connective tissue / Skin
    or in the region: Leg
    or in the tissue/organ: Muscular system / Connective tissue / Skin
    or with the etiology: neoplastic
     
     Pediatric Radiology CasesImages to this case: There are MRI-images available for this case. [ MRI ] View all modalities [ All ]   
     
    Alveolar rhabdomyosarcoma (lower leg)
    G Hahn. Alveolar rhabdomyosarcoma (lower leg). PedRad [serial online] vol 2, no. 1.
    URL: www.PedRad.info/?search=20020122160347


     

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    Alveolar rhabdomyosarcoma (lower leg)
    Other cases by these authors:

    Search G. Hahn in Medline G. Hahn (22)   

    Alveolar rhabdomyosarcoma (lower leg)  
     
    Alveolar rhabdomyosarcoma (lower leg)
    G Hahn. Alveolar rhabdomyosarcoma (lower leg). PedRad [serial online] vol 2, no. 1.
    URL: www.PedRad.info/?search=20020122160347


     
     
    Alveolar rhabdomyosarcoma (lower leg)
    G Hahn. Alveolar rhabdomyosarcoma (lower leg). PedRad [serial online] vol 2, no. 1.
    URL: www.PedRad.info/?search=20020122160347


     

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    Alveolar rhabdomyosarcoma (lower leg)
    G Hahn. Alveolar rhabdomyosarcoma (lower leg). PedRad [serial online] vol 2, no. 1.
    URL: www.PedRad.info/?search=20020122160347


     




    Discussion >> Write Comment <<


    Alveoläres Rhabdomyosarkom (Unterschenkel):  Rhabdomyosarkom
    (Alexandra mayer | 21.05.10)


    Hallo,
    mein sohn ist 5 jahre alt, und hat genau diese Diagnose.
    Durch die chemotherapie,
    ist der tumor sehr klein geworden.
    nun habe ich grosse angst, dass die nun folgende op
    eine amputation des unterschenkels sein kann.
    gibt es vielleicht auch möglichkeiten, dieses zu verhindern?



      Alveolary rhabdomyosarcoma (lower leg):  waiting for your response
      (EBRU ALDEMIR | 12.08.04)


      I have a 3 year old girl diagnosed w/ stage IV alveolar rhabdomyosarcoma ; the history is as told by the doctors is below; what I want is a suggestion for the best clinic on the world; especcially in Germany; as far as I know radiotheraphy is quite imporatant; please help us; I can send you MR tomography in a CD if you wish.

      A three year old girl admitted to our hospital with a history of swelling on her left knee for two weeks. The past medical and family history was unremarkable. There was a hard mass in the anterior and middle part of the left femur. The rest of the physical examination was normal. Complete blood count, serum biochemical analyses and urine analyses were normal except serum calcium level which is 11.5 mg/dl. Magnetic resonance imaging showed a 9X4 cm mass which is associated with rectus femoris and vastus inter medius muscles and showed malign radiological criteria. Computerised tomography of the thorax showed nodular lesion in the middle lobe of the right lung. Abdominal ultrasonography displayed multiple mesenteric small lymphadenopathies and bilateral inguinal lymph nodes lower than 1 cm in size. Imaging of the abdomen with computerised tomography was reported normal. Multiple pathological radioactivity was determined in the left of the vertebra, right side of the sacrum, inferior of the left acetabulum, proximal of the left femur and in the soft tissue of the left cruris at the bone scan of the whole body. Bone marrow aspiration was normocellular. A biopsy was performed for the left femoral mass. The pathological evaluation led to diagnosis of “Malign small round cell tumor, Rhabdomysarcoma”. With the diagnosisi of Rhabdomyosarcoma, T2b noM1, Stage IV; chemotheraphy consisted of ifosphamide-mesna 3 gr/m2 day 1&2;Cisplatin 90 mg/m2 on day 3; Vincristine 1.5 mg/m2 on day 1,8,15; Adriamycine 30 mg/m2 on day 1 and 2 for the 3rd cycle; is started on 9th of July.








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