Diagnostic and therapeutic role of endoscopic retrograde cholangiopancreatography in biliary rhabdomyosarcoma.
Biliary rhabdomyosarcoma (BRMS) is an uncommon childhood malignancy which has been managed surgically. We present a case of a 3-year-old boy with BRMS, in whom endoscopic retrograde cholangiopancreatography (ERCP) was successfully used both diagnostically and therapeutically, thus obviating the need for surgery and its attendant risks of morbidity and mortality. We conclude that ERCP is an effective alternative to surgery for BRMS in some patients.
Himes
Ryan W
RW
Section of Pediatric Gastroenterology, Hepatology & Nutrition, Baylor College of Medicine, Texas Children's Hospital, Houston, Texas 77030, United States. himes@bcm.tmc.edu
Raijman
Isaac
I
Finegold
Milton J
MJ
Russell
Heidi V
HV
Fishman
Douglas S
DS
D017024:Chemotherapy, Adjuvant; D002675:Child, Preschool; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000295:instrumentation; D003138:Common Bile Duct Neoplasms / Q000000981:diagnostic imaging* / Q000628:therapy*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D018714:Radiotherapy, Adjuvant; D012208:Rhabdomyosarcoma / Q000000981:diagnostic imaging* / Q000628:therapy*; D015607:Stents; D016896:Treatment Outcome