title: Alveolar rhabdomyosarcoma of the clivus with intrasellar expansion: Case report.
abstract: Rhabdomyosarcomas are common tumors of the head and neck region in children. However, a primarily intracranial localization of this tumor entity is rare. We report on a 3-year-old boy presenting with double vision due to left VI (th) nerve palsy. No other neurological deficits were recognized by clinical inspection. MRI scans visualized an enhancing mass lesion in the upper clivus compressing the cavernous sinus and the pituitary gland. Transsphenoidal biopsy was performed and histopathological examination as well as molecular diagnostics confirmed the diagnosis of an alveolar rhabdomyosarcoma (ARMS). Staging identified a metastatic lesion in the fourth thoracic vertebra resulting in the diagnosis of stage IV disease. Treatment modality included stereotactic radio- and chemotherapy.
authors.affiliation: Department of Neurosurgery, University Erlangen-Nürnberg, Germany.
authors.forename: M
authors.initials: M
authors.lastname: Seiz
authors.forename: M
authors.initials: M
authors.lastname: Radek
authors.forename: R
authors.initials: R
authors.lastname: Buslei
authors.forename: J
authors.initials: J
authors.lastname: Kreutzer
authors.forename: B
authors.initials: B
authors.lastname: Hofmann
authors.forename: U
authors.initials: U
authors.lastname: Kottler
authors.forename: A
authors.initials: A
authors.lastname: Doerfler
authors.forename: C
authors.initials: C
authors.lastname: Nimsky
authors.forename: R
authors.initials: R
authors.lastname: Fahlbusch
mesh_terms: D020434:Abducens Nerve Diseases / Q000209:etiology / Q000473:pathology; D000324:Adrenocorticotropic Hormone / Q000172:deficiency; D000792:Angiography; D000970:Antineoplastic Agents / Q000008:administration & dosage; D000972:Antineoplastic Agents, Phytogenic / Q000008:administration & dosage; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001921:Brain / Q000473:pathology; D016190:Carboplatin / Q000008:administration & dosage; D002675:Child, Preschool; D005047:Etoposide / Q000008:administration & dosage; D019382:Human Growth Hormone / Q000172:deficiency; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D010911:Pituitary Neoplasms / Q000473:pathology / Q000601:surgery* / Q000628:therapy; D016634:Radiosurgery; D012208:Rhabdomyosarcoma / Q000473:pathology / Q000601:surgery* / Q000628:therapy; D012658:Sella Turcica / Q000473:pathology / Q000601:surgery; D013131:Spine / Q000473:pathology
chemical_list: D000970:Antineoplastic Agents; D000972:Antineoplastic Agents, Phytogenic; D019382:Human Growth Hormone; D005047:Etoposide; D000324:Adrenocorticotropic Hormone; D016190:Carboplatin