Perianal Rhabdomyosarcoma presenting post surgery for Hirschsprungs disease: A rare presentation
Keywords:
Cytopathology, Hirschsprung's, perianal, rhabdomyosarcoma
Abstract
Perianal region is an uncommon site for Rhabdomyosarcoma. Early diagnosis is essential in these cases, as 25% of patients present with metastasis at the time of diagnosis. FNAC is simple and useful procedure for making an early diagnosis and helping clinicians for prompt intervention. Previously, a single case had been reported of rhabdomyosarcoma occuring 2 years after a surgery for hamartoma at the same site. Herein, we report a case of perianal rhabdomyosarcoma which occurred 5 years after a pull through procedure done for Hirschsprungs disease and this rare association has not been reported yet in literature.References
1) Piche N, Patey N, Dal Soglio D, Samson Y, Bouchard S.Perianal rhabdomyosarcoma presenting 21 months after hamartoma excision.Pediatr Surg Int. 2012 Jul;28(7):731-5.
2) Hicks J, Flaitz C. Rhabdomyosarcoma of the head and neck in children. Oral Oncol 2002;38: 450-9.
3) Rubin E, Farber EL, eds. Pathology. Vol 1. Philadelphia:. J.B. Lippincott Company. 1994: 1343-4.
4) Raney RB Jr, Crist W, Hays D, et al. Soft tissue sarcoma of the perineal region in childhood. A report from the Intergroup Rhabdomyosarcoma Studies I and II, 1972 through 1984. Cancer 1990;65:2787-92.
5) Sasajima K, Okawa K, Sasamoto Y, et al. Pararectal rhabdomyosarcoma: report of a case. Dis Colon Rectum 1980;23:576-7.
6) Ali R, Ozkalemkas F, Ozan U, et al. Rhabdomyosarcoma of the perianal region presenting as acute leukemia. Ann Hematol 2004;83:729-30.
7) Hill DA, Dehner LP, Gow KW, Pappo AS, Crawford D, Pflaumer SM, Furman WL, Hayes-Jordan AA, McDermott MB.Perianal rhabdomyosarcoma presenting as a perirectal abscess: A report of 11 cases.J Pediatr Surg. 2002 Apr;37(4):576-81.
8) Marnewick J, Hulme-Moir M. Embryonal rhabdomyosarcoma of the rectum: report of a case and possible treatment option. Colorectal Dis 2010;12:e170-1.
9) Blakely ML, Andrassy RJ, Raney RB, Anderson JR, Wiener ES, Rodeberg DA, et al. Prognostic factors and surgical treatment guidelines for children with rhabdomyosarcoma of the perineum or anus: a report of Intergroup Rhabdomyosarcoma Studies I through IV, 1972 through 1997. J Pediatr Surg.2003;38(3):347–353.
10) Watanabe Y, Yamaguchi A, Isogai M, Kaneoka Y, Suzuki M, Ando H, et al. Treatment strategies for perianal rhabdomyosarcoma: report of two cases. Surg Today.2004;34(8):719–724.
11) Haie-Meder C, Mazeron R, Martelli H, Oberlin O. [Brachytherapy role in pediatric rhabdomyosarcomas] Cancer Radiother. 2013;17(2):155–158.
12) Martelli H, Haie-Meder C, Branchereau S, Franchi-Abella S, Ghigna MR, Dumas I, et al. Conservative surgery plus brachytherapy treatment for boys with prostate and/or bladder neck rhabdomyosarcoma: a single team experience. J. Pediatr. Surg. 2009;44(1):190–196.
2) Hicks J, Flaitz C. Rhabdomyosarcoma of the head and neck in children. Oral Oncol 2002;38: 450-9.
3) Rubin E, Farber EL, eds. Pathology. Vol 1. Philadelphia:. J.B. Lippincott Company. 1994: 1343-4.
4) Raney RB Jr, Crist W, Hays D, et al. Soft tissue sarcoma of the perineal region in childhood. A report from the Intergroup Rhabdomyosarcoma Studies I and II, 1972 through 1984. Cancer 1990;65:2787-92.
5) Sasajima K, Okawa K, Sasamoto Y, et al. Pararectal rhabdomyosarcoma: report of a case. Dis Colon Rectum 1980;23:576-7.
6) Ali R, Ozkalemkas F, Ozan U, et al. Rhabdomyosarcoma of the perianal region presenting as acute leukemia. Ann Hematol 2004;83:729-30.
7) Hill DA, Dehner LP, Gow KW, Pappo AS, Crawford D, Pflaumer SM, Furman WL, Hayes-Jordan AA, McDermott MB.Perianal rhabdomyosarcoma presenting as a perirectal abscess: A report of 11 cases.J Pediatr Surg. 2002 Apr;37(4):576-81.
8) Marnewick J, Hulme-Moir M. Embryonal rhabdomyosarcoma of the rectum: report of a case and possible treatment option. Colorectal Dis 2010;12:e170-1.
9) Blakely ML, Andrassy RJ, Raney RB, Anderson JR, Wiener ES, Rodeberg DA, et al. Prognostic factors and surgical treatment guidelines for children with rhabdomyosarcoma of the perineum or anus: a report of Intergroup Rhabdomyosarcoma Studies I through IV, 1972 through 1997. J Pediatr Surg.2003;38(3):347–353.
10) Watanabe Y, Yamaguchi A, Isogai M, Kaneoka Y, Suzuki M, Ando H, et al. Treatment strategies for perianal rhabdomyosarcoma: report of two cases. Surg Today.2004;34(8):719–724.
11) Haie-Meder C, Mazeron R, Martelli H, Oberlin O. [Brachytherapy role in pediatric rhabdomyosarcomas] Cancer Radiother. 2013;17(2):155–158.
12) Martelli H, Haie-Meder C, Branchereau S, Franchi-Abella S, Ghigna MR, Dumas I, et al. Conservative surgery plus brachytherapy treatment for boys with prostate and/or bladder neck rhabdomyosarcoma: a single team experience. J. Pediatr. Surg. 2009;44(1):190–196.
Published
2016-08-04
Issue
Section
Case Report
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access at http://opcit.eprints.org/oacitation-biblio.html).
