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Persistent pleural effusion in an infant with an unusual diagnosis: congenital alveolar rhabdomyosarcoma

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Yozgat, Can Yilmaz
YEŞİLBAŞ, Osman
YOZGAT, Yılmaz
AKDEMİR, OSMAN CEMİL
YURTSEVER, İsmail
TEKİN, NUR
BAGHISHOV, DAMAT
BAYRAMOVA, NİGAR
ELAGÖZ, Şahande
ÇAKIR, FATMA BETÜL

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Rhabdomyosarcoma (RMS) is a malignant form of neoplasm that originates from skeletal muscle. RMSs can exist anywhere in the human body but are more commonly detected in the neck region and extremities. The alveolar type is one of the subtypes of RMS that has a poor prognosis. Because the clinical manifestation of a tumour can be a painless mass, symptoms might be non-contributary to the diagnosis. Herein, a four-month-old girl was admitted to the emergency department with complaints of respiratory distress without a runny nose, cough, and fever. Recurrent effusions subsided with subsequent tube thoracostomy. Video-assisted thoracoscopic surgery (VATS) was performed to determine the aetiology of the recurrent effusion. The Tru-Cut biopsy obtained during VATS resulted in the diagnosis of alveolar rhabdomyosarcoma. Pleural effusion decreased, and the tube drainage was stopped rapidly after first vincristine, actinomycin-D, and cyclophosphamide chemotherapy cycle. Persistent and recurrent pleural effusions should alert physicians to rule out unusual diagnoses like that of our case.

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Yozgat C. Y. , YEŞİLBAŞ O., YOZGAT Y., AKDEMİR O. C. , YURTSEVER İ., TEKİN N., BAGHISHOV D., BAYRAMOVA N., ELAGÖZ Ş., ÇAKIR F. B. , -Persistent pleural effusion in an infant with an unusual diagnosis: congenital alveolar rhabdomyosarcoma-, WSPOLCZESNA ONKOLOGIA-CONTEMPORARY ONCOLOGY, cilt.24, ss.132-135, 2020

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