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Pleomorphic rhabdomyosarcoma presenting as a hypopharyngeal mass. | LitMetric

Pleomorphic rhabdomyosarcoma presenting as a hypopharyngeal mass.

Head Neck

Department of Otolaryngology, Kaiser Permanente, Lafayette, Colorado.

Published: July 2015

Background: Rhabdomyosarcoma (RMS) is a rare malignancy derived from skeletal muscle with approximately 40% of cases involving the head and neck. The pleomorphic variant, however, most commonly occurs in the extremities and has never, to our knowledge, been described in the pharynx.

Methods: A 46-year-old man with no significant medical history presented to the emergency department complaining of hemoptysis. A CT scan of the head and neck revealed a hypopharyngeal mass originally favored to be a benign process.

Results: Operative endoscopy revealed a previously unseen mucosal ulceration, and subsequent biopsy resulted in the final diagnosis of pleomorphic RMS.

Conclusion: Although quite rare, RMS should be considered in the differential diagnosis of a hypopharyngeal mass.

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Source
http://dx.doi.org/10.1002/hed.23876DOI Listing

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