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Alveolar rhabdomyosarcoma of the larynx: Case report and literature review
Author(s) -
Haerr Robert W.,
Turalba Cornelius I. C.,
ElMahdi Anas M.,
Brown Kimberly L.
Publication year - 1987
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1288/00005537-198703000-00015
Subject(s) - rhabdomyosarcoma , medicine , alveolar rhabdomyosarcoma , radiation therapy , larynx , lymphatic system , head and neck , chemotherapy , surgery , sarcoma , radiology , pathology
We report the 11th well‐documented case of laryngeal rhabdomyosarcoma and only the second of laryngeal alveolar rhabdomyosarcoma. The optimum treatment of head and neck rhabdomyosarcoma has not yet been defined, but it appears that the ideal should consist of an aggressive multimodality approach. This includes surgical extirpation if it can be done without major morbidity, postoperative radiotherapy with a margin around known and suspected disease, and multiagent chemotherapy. Unlike most sarcomas, rhabdomyosarcoma (especially alveolar rhabdomyosarcoma) spreads by way of the lymphatic system as well as the blood stream. Inclusion of the draining lymphatics in the radiation field must be given strong consideration.