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BMJ Case Reports 2013; doi:10.1136/bcr-2013-008737
  • CASE REPORT

Alveolar ethmoidal rhabdomyosarcoma in a young adult male

  1. William Primrose2
  1. 1Department of Otolaryngology, Portadown, Ulster, UK
  2. 2Department of Otolaryngology, Belfast Trust, Belfast, County Antrim, UK
  1. Correspondence to Andrew Kelly, andrewpaulkelly{at}doctors.org.uk

Summary

We report a 22-year-old man who presented with a 3 week history of left-sided headache, orbital pain and epiphora progressing to diplopia. He was being treated by his general practitioner with a β-blocker and simple analgesia for possible diagnosis of cluster headaches. Initial examination revealed a reduction in visual acuity and poor abduction and upward gaze. Routine blood tests were normal. CT imaging was reported as a left ethmoid sinusitis with extension into a left orbit subperiosteal abscess. No pus was obtained on frontal sinus trephine and a biopsy was taken, which proved to be an alveolar-type rhabdomyosarcoma. The patient has completed a full course of chemoradiotherapy and has responded well to the treatment. His vision is back to normal and an MRI has shown complete regression of tumour.

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