[Orbital alveolar rhabdomyosarcoma masked by ethmoid sinusitis in a 25-year-old]

Arch Soc Esp Oftalmol. 2014 May;89(5):182-5. doi: 10.1016/j.oftal.2012.10.012. Epub 2012 Dec 20.
[Article in Spanish]

Abstract

Case report: A 25-year-old woman with right subacute sinusitis, complained about discomfort in her right eye. Clinical manifestations and computed tomography were suggestive of sub-periosteal orbital ethmoid wall abscess, for which the patient underwent urgent drainage. A solid tumor was found, with a positive biopsy for alveolar rhabdomyosarcoma. Complete remission and resolution of orbital symptoms were achieved with chemotherapy and radiation therapy.

Discussion: Alveolar orbital rhabdomyosarcoma in adults is uncommon. Rhabdomyosarcoma has a high risk of spreading. It can simulate a sinusitis, as in our patient, early diagnosis and early treatment being especially important in these patients.

Keywords: Apex; Masked orbital rhabdomyosarcoma; Rabdomiosarcoma; Rabdomiosarcoma alveolar; Rabdomiosarcoma orbitario enmascarado; Rhabdomyosarcoma; Rhabdomyosarcoma alveolar; Sinusitis; Ápex.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Adult
  • Ethmoid Sinusitis / diagnosis*
  • Female
  • Humans
  • Orbital Neoplasms / diagnosis*
  • Rhabdomyosarcoma, Alveolar / diagnosis*