DIAGNOSTIC CHALLENGES IN CERVICAL EMBRYONAL RHABDOMYOSARCOMA IN YOUNG FEMALE: REVIEW OF LITERATURE.

A. Pirosha, Bhavana M Bharambe, Jesmy Emily Joseph
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Abstract

Rhabdomyosarcoma is extremely rare; comprising 0.4 to <1% of cervical cancers in female. One of the least common sites for its occurrence in genitourinary tract is cervix and it requires to be differentiated from other sarcomas; particularly adenosarcoma as it has relatively better prognosis but there is not sufcient literature relating to the diagnosis and management of primary sarcoma cervix. We hereby report a case of 22-year-old female who presented with complaints of vaginal intermenstrual bleeding for 1.5 months. On physical and radiological examination was found to have a cervical mass measuring 3.3x4.4x4.5 cm. On microscopy the case was diagnosed as Embryonal Rhabdomyosarcoma cervix. Patient was managed conservatively by chemotherapy and is currently disease free. The aim and objective of our study is to discuss the approach while reporting the histopathology of sarcoma cervix with review of literature and how to differentiate between its close mimickers as therapeutics and outcome for each condition varies .
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年轻女性宫颈胚胎性横纹肌肉瘤的诊断难题:文献综述。
横纹肌肉瘤极为罕见,只占女性宫颈癌的 0.4%到 1%。宫颈是其在泌尿生殖道最不常见的发病部位之一,需要与其他肉瘤尤其是腺肉瘤区分开来,因为腺肉瘤的预后相对较好,但目前还没有关于宫颈原发性肉瘤诊断和治疗的相关文献。我们在此报告一例 22 岁女性的病例,她主诉阴道经间出血 1.5 个月。经体格检查和放射学检查,发现宫颈肿块,大小为 3.3x4.4x4.5 厘米。经显微镜检查,该病例被诊断为子宫颈胚胎性横纹肌肉瘤。患者接受了化疗等保守治疗,目前已康复。我们研究的目的和目标是通过文献综述讨论宫颈肉瘤组织病理学报告的方法,以及如何区分其近似模仿者,因为每种情况的治疗方法和结果都不尽相同。
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