Metastatic Alveolar Rhabdomyosarcoma with Extensive Bone Marrow Replacement in an Older Adult
Rhabdomyosarcoma is extremely rare in adults. Metastatic rhabdomyosarcoma can resemble other malignancies, which can delay diagnosis and prompt treatment. This case illustrates an example of metastatic alveolar rhabdomyosarcoma with concurrent bone marrow infiltration. A 67-year-old woman presented...
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Karger Publishers
2021
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oai:doaj.org-article:d2ee85aa1cf84efb8a1ab7687d1be5da2021-11-18T11:08:46ZMetastatic Alveolar Rhabdomyosarcoma with Extensive Bone Marrow Replacement in an Older Adult1662-657510.1159/000519595https://doaj.org/article/d2ee85aa1cf84efb8a1ab7687d1be5da2021-10-01T00:00:00Zhttps://www.karger.com/Article/FullText/519595https://doaj.org/toc/1662-6575Rhabdomyosarcoma is extremely rare in adults. Metastatic rhabdomyosarcoma can resemble other malignancies, which can delay diagnosis and prompt treatment. This case illustrates an example of metastatic alveolar rhabdomyosarcoma with concurrent bone marrow infiltration. A 67-year-old woman presented with epistaxis and diffuse bone pain. She developed progressive thrombocytopenia requiring platelet transfusions. The patient was initially thought to have leukemia. She was found to have a large sinonasal mass with extensive metastatic disease and bone marrow infiltration. The patient was ultimately diagnosed with metastatic alveolar rhabdomyosarcoma. She was started on chemotherapy with vincristine, actinomycin, and cyclophosphamide. Unfortunately, she died prior to discharge home. Alveolar rhabdomyosarcoma can resemble a primary bone marrow malignancy when it infiltrates the bone marrow. Further investigation is needed to clarify its clinical behavior and expedite diagnosis and treatment.Justin J. ChengRyan T. MottPaul D. SavageRavi K. PaluriKarger Publishersarticlerhabdomyosarcomathrombocytopeniabone marrowNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENCase Reports in Oncology, Vol 14, Iss 3, Pp 1505-1510 (2021) |
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rhabdomyosarcoma thrombocytopenia bone marrow Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 |
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rhabdomyosarcoma thrombocytopenia bone marrow Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 Justin J. Cheng Ryan T. Mott Paul D. Savage Ravi K. Paluri Metastatic Alveolar Rhabdomyosarcoma with Extensive Bone Marrow Replacement in an Older Adult |
description |
Rhabdomyosarcoma is extremely rare in adults. Metastatic rhabdomyosarcoma can resemble other malignancies, which can delay diagnosis and prompt treatment. This case illustrates an example of metastatic alveolar rhabdomyosarcoma with concurrent bone marrow infiltration. A 67-year-old woman presented with epistaxis and diffuse bone pain. She developed progressive thrombocytopenia requiring platelet transfusions. The patient was initially thought to have leukemia. She was found to have a large sinonasal mass with extensive metastatic disease and bone marrow infiltration. The patient was ultimately diagnosed with metastatic alveolar rhabdomyosarcoma. She was started on chemotherapy with vincristine, actinomycin, and cyclophosphamide. Unfortunately, she died prior to discharge home. Alveolar rhabdomyosarcoma can resemble a primary bone marrow malignancy when it infiltrates the bone marrow. Further investigation is needed to clarify its clinical behavior and expedite diagnosis and treatment. |
format |
article |
author |
Justin J. Cheng Ryan T. Mott Paul D. Savage Ravi K. Paluri |
author_facet |
Justin J. Cheng Ryan T. Mott Paul D. Savage Ravi K. Paluri |
author_sort |
Justin J. Cheng |
title |
Metastatic Alveolar Rhabdomyosarcoma with Extensive Bone Marrow Replacement in an Older Adult |
title_short |
Metastatic Alveolar Rhabdomyosarcoma with Extensive Bone Marrow Replacement in an Older Adult |
title_full |
Metastatic Alveolar Rhabdomyosarcoma with Extensive Bone Marrow Replacement in an Older Adult |
title_fullStr |
Metastatic Alveolar Rhabdomyosarcoma with Extensive Bone Marrow Replacement in an Older Adult |
title_full_unstemmed |
Metastatic Alveolar Rhabdomyosarcoma with Extensive Bone Marrow Replacement in an Older Adult |
title_sort |
metastatic alveolar rhabdomyosarcoma with extensive bone marrow replacement in an older adult |
publisher |
Karger Publishers |
publishDate |
2021 |
url |
https://doaj.org/article/d2ee85aa1cf84efb8a1ab7687d1be5da |
work_keys_str_mv |
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