Rhabdomyosarcoma Resected by Multidisciplinary Treatment: A Case Report

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  • Kato Daiki
    Department of Pediatric Surgery, Anjo Kosei Hospital Department of Surgery, Anjo Kosei Hospital
  • Makita Satoshi
    Department of Pediatric Surgery, Nagoya University Graduate School of Medicine
  • Uemura Norihisa
    Department of Pediatric Surgery, Anjo Kosei Hospital Department of Surgery, Anjo Kosei Hospital
  • Nakano Satoshi
    Department of Pediatric Surgery, Anjo Kosei Hospital Department of Surgery, Anjo Kosei Hospital
  • Arai Toshiyuki
    Department of Surgery, Anjo Kosei Hospital
  • Miyajima Yuji
    Department of Pediatrics, Anjo Kosei Hospital

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Other Title
  • 集学的治療により根治切除し得た後腹膜横紋筋肉腫の13歳女児例
  • シュウガクテキ チリョウ ニ ヨリ コンジ セツジョ シエタ アトバラマク オウモンキン ニクシュ ノ 13サイ ジョジレイ

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<p>A 13-year-old girl who presented with left lower abdominal pain was referred to our hospital. Enhanced abdominal CT revealed a 130 mm tumor in the pelvis invading the left ureter and the left iliac artery and vein. We performed laparoscopic-assisted biopsy, and on the basis of biopsy findings, we diagnosed the patient as having rhabdomyosarcoma. We performed radical resection because we confirmed that the tumor had shrank after chemoradiotherapy. We resected the tumor together with the left ureter and the left iliac artery and vein, and we reconstructed the left common iliac artery using an artificial graft and anastomosed the left ureter to the right ureter (transureteroureterostomy). The patient was administered surgical adjuvant chemotherapy, and she is now healthy at 3 years and 3 months after the surgery with no sign of recurrence. We experienced treating a case of retroperitoneal primary rhabdomyosarcoma invading the left ureter and left iliac artery and vein with a good prognosis by multidisciplinary treatment. The cooperation with specialists of each department seems to provide a safe and useful treatment, even for rhabdomyosarcoma requiring the resection of a combination of major blood vessels and ureters.</p>

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