Embryonal Rhabdomyosarcoma in the Pelvis of a 22-Year-Old Female: A Case Report

Authors

Amber Wright MD, Marshall UniversityFollow
Nadim Bou Zgheib, MUSOMFollow
Niru Nahar, Joan C. Edwards School of Medicine, Marshall UniversityFollow

Author Credentials

Amber Wright MD Jared Justice MD Niru Nahar MD Nadim Bou Zgheib MD

Keywords

embryonal rhabdomyosarcoma, pelvic mass, vaginal bleeding

Disciplines

Medicine and Health Sciences

Abstract

Embryonal rhabdomyosarcoma is a rare soft-tissue sarcoma that is responsible for less than 1% of malignancies in the adult population. We present a case of a 22-year-old female with a six-month history of abnormal uterine bleeding that was found to have an exophytic mass within the cervix. Magnetic resonance imaging was performed and revealed a large pelvic mass. Further workup included biopsies and surgical removal of the tumor, leading to the diagnosis of embryonal rhabdomyosarcoma. PET scan showed no FDG-avid malignancy, aiding in the decision-making process for adjuvant treatment to include vincristine, actinomycin D, cyclophosphamide, and mesna. This case is important to document due to the rarity of this disease and to serve as a reminder to gynecologists to consider the addition of rhabdomyosarcoma in the differential diagnosis when evaluating young adult females presenting with abnormal uterine bleeding and a cervical mass lesion.

Recommended Citation

Wright A, Bou Zgheib N, Nahar N. Embryonal Rhabdomyosarcoma in the Pelvis of a 22-Year-Old Female: A Case Report. Marshall J Med. 2022; 8(2) DOI: https://doi.org/10.33470/2379-9536.1365.