A Pleomorphic Rhabdomyosarcoma Mimicking an Inguinal Hernia: A Case Report and Review of the Literature

Section of Medical Oncology, Second Department of Propaedeutic Internal Medicine, Attikon University Hospital, Athens, Greece.
Case Reports in Oncology 02/2012; 5(1):74-9. DOI: 10.1159/000336158
Source: PubMed


A 59-year-old male presented with a painful right inguinal swelling and deep vein thrombosis at the ipsilateral leg. An inguinal hernia was initially diagnosed, but during surgery a large mass was found anteriorly to the peritoneal sheaths. Histology revealed a high-grade pleomorphic rhabdomyosarcoma. The mass advanced rapidly, occupying the whole right iliac fossa and metastasizing to the lung. Despite first- and second-line chemotherapy, the patient deteriorated rapidly and died. Rhabdomyosarcomas should be managed in specialized centres as they have prognostic factors and histologic features still controversial and poorly clarified.

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Available from: Evangelos P Misiakos, Dec 28, 2013
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    • "f the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000(5). Informed consent was obtained from all patients for being included in the study. Additional informed consent was obtained from all patients for which identifying information is included in this article.Koumarianou et al., 2012) Group Definition I Localized tumor, completely removed with pathologically clear margins and no regional lymph node involvement II Localized tumor, grossly removed with (a) microscopically involved margins, (b) involved, grossly resected regional lymph nodes III Localized tumor, with gross residual disease after grossly incomplete remo"

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