title: Causes and Diagnosis of Abnormal Vaginal Bleeding.
abstract: Abnormal vaginal bleeding in a postmenarchal adolescent patient is most often related to dysfunctional uterine bleeding. However, there are other potential etiologies, including hematologic disorders, infections, and oncologic problems. We present a 12-year-old girl who presented with prolonged vaginal bleeding and was ultimately diagnosed with rhabdomyosarcoma. In this article, we discuss the approach to a patient with vaginal bleeding along with a more in-depth review of risk stratification in rhabdomyosarcoma, including treatment options such as chemotherapy, surgery, and radiation therapy.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Sokol
authors.forename: Radhika
authors.initials: R
authors.lastname: Peddinti
mesh_terms: D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D002648:Child; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D018233:Rhabdomyosarcoma, Embryonal / Q000175:diagnosis* / Q000188:drug therapy / Q000532:radiotherapy; D014592:Uterine Hemorrhage / Q000175:diagnosis* / Q000209:etiology; D014594:Uterine Neoplasms / Q000175:diagnosis* / Q000188:drug therapy / Q000532:radiotherapy