title: Congenital rhabdomyosarcoma of shoulder.
abstract: A 16-day-old female was referred with congenital swelling on her right shoulder. On examination, there was a hard, round, ecchymotic, nontender, slightly movable, warm and shiny 10x15 cm mass on the right axillary pits which was extended to the right side of neck and chest wall. The mass separated the shoulder from the chest wall causing paralysis of right hand. Chest X-ray, ultrasound and MRI with contrast demonstrated a soft tissue mass suspected to be a hemangioma. The mass rapidly increased in size despite aggressive steroid therapy with rupture and bleeding. On the 45th post natal day the baby was taken to operating room to control the bleeding and if possible total excision of the mass. The mass was separated easily from the surrounding tissue and was excised along with right upper extremity. At the end of surgery the baby had cardiac arrest, and apparently died of Disseminated Intravascular Coagulation (DIC). The final pathology report was Rhabdomyosarcoma (RMS).
authors: Pediatric Surgery Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors: Ahmad
authors: A
authors: Khaleghnejad-Tabari
authors: Pediatric Surgery Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors: Alireza
authors: A
authors: Mirshemirani
authors: Pediatric Surgery Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors: Mohsen
authors: M
authors: Rouzrokh
authors: Dept. of Neonatology, Mofid Children Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors: Shahin
authors: S
authors: Nariman
authors: Pediatric Surgery Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors: Shaghayegh
authors: S
authors: Hassas-Yeganeh
authors: Dept. of Pathology, Mofid Children Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors: Atoosa
authors: A
authors: Gharib
authors: Pediatric Surgery Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors: Nasibeh
authors: N
authors: Khaleghnejad-Tabari
keywords: Congenital; Newborn; Rhabdomyosarcoma; Shoulder
references: Pediatr Radiol. 2008 Jun;38(6):617-34
references: 18324394
references: J Clin Oncol. 2001 Jan 1;19(1):213-9
references: 11134215
references: Pediatr Surg Int. 2006 Feb;22(2):135-9
references: 16328338
references: Cancer. 2003 May 15;97(10):2597-604
references: 12733159
references: J Pediatr Surg. 1994 Aug;29(8):1167-70
references: 7965528
references: Clin Pediatr (Phila). 2003 Jan-Feb;42(1):29-34
references: 12635979
references: J Clin Oncol. 2001 Jun 15;19(12):3091-102
references: 11408506
references: Cases J. 2009 Jul 02;2:6818
references: 19829867