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Rhabdomyosarcoma of the head and neck: Diagnosis and management

✍ Scribed by Healy, Gerald B. ;Jaffe, Norman ;Cassady, J. Robert

Publisher: Wiley (John Wiley & Sons)
Year: 1979
Weight: 648 KB
Volume: 1
Category: Article
ISSN: 0148-6403
DOI: 10.1002/hed.2890010406

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✦ Synopsis

Abstract

Rhabdomyosarcoma represents the most common soft‐tissue neoplasm of the head and neck found in children. The tumor is most commonly seen in Caucasian children under the age of 12, usually presenting as a painless mass. Distant metastases are frequently present, especially in regional lymph nodes, lung, and bone marrow. All patients suspected of having this disorder should have a thorough examination of the head and neck, as well as a complete radiographic evaluation of the primary region. Histologic diagnosis should be made as rapidly as possible. Once this has been accomplished, a thorough search for metastatic disease can be undertaken. Therapy must be individualized, and a team approach is advocated. The roles of surgery, radiation therapy, and chemotherapy are discussed. A staging system and a treatment‐therapy plan are outlined.

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