Spectrum of Rhabdomyosarcoma in a Tertiary Care Center – A 20 Year Study
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Abstract
Background: Rhabdomyosarcoma (RMS) is a rare tumor. It is the commonest soft tissue tumor in children. It is the third most common extracranial solid tumor in children. Head neck region was the most common sites followed by extremities, orbit, vagina, bladder and etc. Most of the cases are diagnosed in first decade of the life. The commonest histological type is Embryonal Rhabdomyosarcoma (E RMS).
Aims and Objectives: The aim of our study was to see the distribution of RMS among children below 18 years of age. To note the distribution of age, sex of the children, site of the tumor, and the histological type of the tumor. It is classified as low, intermediate and high-risk group and the stage of the tumor also determined during presentation.
Materials and Methods: The study was carried out in a Tertiary Care Center over a period of 20 years (2001-2021). We took all the specimens came to the Department of Pathology with Clinical diagnosis of RMS. We then performed the histopathological processing of the specimens by standard technique. We also noted the history, investigations from the specimen request form.
We took the Ethics Committee approval from the Institutional Ethics Committee and took the informed consent from the patients and patient party.
Result and Analysis: There were 123 children in our study. The most common age group was 1-10 years. The most frequent site was Head Neck region. The most frequent histological type was E-RMS.
Conclusion: Early diagnosis, early implementation of management (Surgery, Chemotherapy and etc.) and patients’ awareness are necessary for the better outcome.
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