A rare case of subglottic embryonal rhabdomyosarcoma: managed with the aim of organ preservation

J Laryngol Otol. 2015 Jan;129(1):106-9. doi: 10.1017/S002221511400293X. Epub 2014 Dec 22.

Abstract

Background: Rhabdomyosarcoma is a malignant mesenchymal neoplasm rarely diagnosed in the larynx. Traditionally, it has been treated by radical surgery (i.e. total laryngectomy), followed by radiation and/or chemotherapy. Recent advances suggest that it may be treated with combination therapy comprising high-dose radiation and pulse chemotherapy, with a high success rate.

Case report: We report the first documented case of subglottic embryonal rhabdomyosarcoma in an adolescent female treated with chemoradiation alone, and review the literature reflecting a move towards organ preservation.

Conclusion: While surgery has been successfully used to treat this neoplasm, combination therapy, as described in our study, also seems effective and has the added advantage of preserving laryngeal function.

Keywords: Radiotherapy.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adolescent
  • Chemoradiotherapy / methods*
  • Female
  • Glottis
  • Humans
  • Induction Chemotherapy / methods
  • Laryngeal Neoplasms / therapy*
  • Maintenance Chemotherapy / methods
  • Organ Sparing Treatments / methods*
  • Radiotherapy, Conformal
  • Rhabdomyosarcoma, Embryonal / therapy*