- 期刊
Congenital Rhabdomyosarcoma: a Case Report
先天性橫紋肌肉瘤－病例報告
摘要
新生兒就被發現有癌症相當少見，出生當天就發現的更少。本文報告一足月女嬰，出生不久就發現口腔內有一腫瘤，經電腦斷層檢查顯示為4×4×3公分腫瘤，因無法完全切除，故僅做切片檢查，診斷為胚胎型橫紋肌肉瘤。旋即因腫瘤快速長大阻塞呼吸道，而需靠氣管內管維持呼吸，所幸經化學治療後腫瘤略為減小，而得以拔除氣管內管，雖建議家屬需合併進行放射線治療，但遭家屬拒絕。目前七個多月大，仍繼續接受化學治療中。
關鍵字
無資料並列摘要
A term female newborn was noted to have a tumor mass in the oral cavity soon after birth. Oral computer tomography revealed a well-enhanced soft tissue mass about 4 x 4 x 3 cm in size in the left buccal area. Group III embryonal type congenital rhabdomyosarcoma was diagnosed after biopsy (gross removal was not feasible). Respiratory distress exacerbated due to rapid tumor growth compressing airway with the result that endotracheal tube had to be intubated. Chemotherapy was done and complicated by two episodes of neutropenic fever and sepsis. Radiotherapy was suggested but refused by the family. Tumor size was slightly reduced and endotracheal tube could be removed four months later. She was taken home under regular chemotherapy. Radiotherapy, was, however, clearly indicated.
延伸閱讀
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