A case of embryonal rhabdomyosarcoma of the uterine cervix in a middle-aged woman.

Shim, A Ra; Lee, Maria; Paek, Ji Heum; Kim, Min Ju; Kim, Sang Wun

doi:2011.54.11.707

Obstet Gynecol Sci > Volume 54(11); 2011 > Article

Case Report

Korean Journal of Obstetrics & Gynecology 2011;54(11):707-711.
DOI: https://doi.org/10.5468/KJOG.2011.54.11.707 Published online November 1, 2011.

A case of embryonal rhabdomyosarcoma of the uterine cervix in a middle-aged woman.

A Ra Shim, Maria Lee, Ji Heum Paek, Min Ju Kim, Sang Wun Kim

¹Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Seoul, Korea. san1@yuhs.ac
²Department of Pathology, Yonsei University College of Medicine, Seoul, Korea.

Abstract

Embryonal rhabdomyosarcoma (RMS) of the cervix is rare and most commonly occurs in the late teens and early 20s. We report a case of cervical embryonal RMS in a 52-year-old woman. This patient presented with an abnormal vaginal bleeding for 2 months and a mass protruding from the introitus, measuring 7 x 6 cm. She underwent radical abdominal hysterectomy with bilateral pelvic lymph node dissection and radical vaginectomy. The final pathologic result was cervical RMS, consistent with the Intergroup RMS study group IIC. Immunohistochemistry was positive for desmin, myogenin, and myogenic diffentiation 1. The patient received conservative management in a convalescent hospital without adjuvant treatment due to cerebral hemorrhage and relapsed septic condition after surgery.

Key Words: Embryonal rhabdomyosarcoma, Uterine cervix