Composite sarcoma of bone with focal rhabdomyosarcoma and lymph node metastasis in an adolescent

Pediatr Blood Cancer. 2020 Nov;67(11):e28679. doi: 10.1002/pbc.28679. Epub 2020 Aug 29.

Abstract

Composite sarcoma of bone is a very rare entity that primarily affects adolescent and young adult patients. It usually combines areas of liposarcoma and osteosarcoma, and up to 60% of cases have metastatic disease at diagnosis. It is a highly aggressive pathology with intrinsic resistance to bone sarcoma conventional treatments. The prognosis is poor, with long-term survival rates not exceeding 30%. We present the case of an adolescent female diagnosed with an aggressive composite sarcoma of bone with rhabdomyosarcoma foci and loco-regional lymph node involvement.

Keywords: composite sarcoma; malignant mesenchymoma; osteosarcoma; rhabdomyosarcoma.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Bone Neoplasms / secondary*
  • Bone Neoplasms / surgery
  • Female
  • Humans
  • Lymphatic Metastasis
  • Osteosarcoma / secondary*
  • Osteosarcoma / surgery
  • Prognosis
  • Rhabdomyosarcoma / pathology*
  • Rhabdomyosarcoma / surgery
  • Soft Tissue Neoplasms / secondary*
  • Soft Tissue Neoplasms / surgery