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Indian Pediatr 2009;46: 431 |
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Vaginal Rhabdomyosarcoma |
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Dilip Kumar Pal and Sumanta Jha
Department of Pediatric Medicine, NRS Medical College and
Hospital, 138, ATC Bose Road, Kolkata 700014, India.
E-mail:
[email protected] |
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A
8-month old girl presented with a
protruding mass per vagina along with blood stained discharge for 2 weeks.
Examination revealed an non-ulcerated polypoid vaginal mass (Fig.
1). On investigation, she had no other abnormality. Biopsy of the
excised mass showed a malignant growth showing small round cells consists
of undifferentiated mesodermal cells and few striated muscle
fibres-rhabdomyoblasts.
Vaginal rhabdomyosarcoma or botryoides variety of
sarcoma is a rare type of childhood malignancy. It is a variety of soft
tissue sarcoma originating from lower genital tract in female infants and
girl children before the age of 5 years. Treatment of vaginal
rhabdomyosarcoma can be done with chemotherapy (vincristine,
cyclophosphamide and actinomycin D/doxorubicin), surgery or combination
depending upon the stage.
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