title: Congenital Eyelid Rhabdomyosarcoma.
abstract: Rhabdomyosarcoma is the most common type of soft tissue sarcoma in children. The authors present a rare case of eyelid rhabdomyosarcoma in a newborn, who was found to have a reddish eyelid tumor in his OD. A mass with a clear margin, confined to the upper eyelid, was revealed using orbital MRI. Intralesional steroids were injected under the impression of a capillary hemangioma and the tumor shrank initially, but grew rapidly later. Therefore, a debulking surgery was performed and the final diagnosis was embryonal rhabdomyosarcoma. After the operation, metastases still occurred despite the treatment with chemotherapy and concurrent radiation. The patient expired at 6 months of age. In an autopsy, a neuroblastoma was incidentally found in his left adrenal gland. Early biopsy may help lead to an early correct diagnosis and avoid metastases in similar cases.
authors.affiliation: Departments of *Ophthalmology, †Pathology, and ‡Pediatrics, Buddhist Tzu Chi General Hospital; §Department of Ophthalmology and Visual Science, Tzu Chi University, Hualien; and ¶Department of Ophthalmology, Far Eastern Memorial Hospital, Taipei, Taiwan.
authors.forename: Yi-Ching
authors.initials: YC
authors.lastname: Lee
authors.forename: Yung-Hsiang
authors.initials: YH
authors.lastname: Hsu
authors.forename: Shan-Hsien
authors.initials: SH
authors.lastname: Yang
authors.forename: Tzu-Lun
authors.initials: TL
authors.lastname: Huang
mesh_terms: D003937:Diagnosis, Differential; D005142:Eyelid Neoplasms / Q000151:congenital* / Q000175:diagnosis; D006801:Humans; D007231:Infant, Newborn; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008297:Male; D012208:Rhabdomyosarcoma / Q000151:congenital* / Q000175:diagnosis