An infrequent case of adult nasopharynx rhabdomyosarcoma with bony involvement: A case report | [Journal of Pakistan Medical Association • 2022]

Author(s):

1. Tabe Rasool: Dow Universityof Health Sciences, Ojha Campus, Karachi, Pakistan

2. Salma Salman: Dow Universityof Health Sciences, Ojha Campus, Karachi, Pakistan

3. Faiza Ghuman: Dow Universityof Health Sciences, Ojha Campus, Karachi, Pakistan

4. Afshan Siddiqui: Dow Universityof Health Sciences, Ojha Campus, Karachi, Pakistan

5. Salman Niaz Ahmed: Dow Universityof Health Sciences, Ojha Campus, Karachi, Pakistan

6. Maria Akhtar: Dow Universityof Health Sciences, Ojha Campus, Karachi, Pakistan

Abstract:

Rhabdomyosarcoma is a rare and highly aggressive malignancy arising from the striated skeletal muscle fibre. It is commonly a childhood tumour and rarely seen in adults. The most predominant part commonly involved is head and neck.We are reporting a rare case of a 54 year old adult male with Rhabdomyosarcoma of nasopharynx witha non specific presentation of weight loss for past four months, fever, a perianal abscess and backache since 10 days. The haematological and biochemical parameters were within normal limits however C reactive protein and erythrocyte sedimentation rate were raised. An MRI for the pelvis, which was done for the extension of perianal abscess, also displayed some heterogeneous marrow signal, which raised the suspicion of some infiltrative process. Later, a bone scan, PET scan, and a biopsy of the nasopharaynx was done. The biopsy confirmed the findings of Rhabdomyosarcoma by showing marked pleomorphism with strong positive desmin and myogin stain. The patient was then referred to the oncology department for further management.

Page(s): 544-546

DOI: DOI not available

Published: Journal: Journal of Pakistan Medical Association, Volume: 72, Issue: 3, Year: 2022

Keywords:

Rhabdomyosarcoma , Backache , Nasopharynx

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