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Pediatr Hematol Oncol. 1990;7(2):149-57.

The role of computerized tomographic scanning in the management of rhabdomyosarcoma in nonorbital head and neck sites.

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Department of Radiology, St. Bartholomew's Hospital, West Smithfield, London, England.


Computerized tomographic (CT) scans and radiographs of 19 children with nonorbital rhabdomyosarcoma of the head and neck region presenting between 1975 and 1987 were reviewed retrospectively. The scans were assessed for the extent of soft tissue disease and for adverse prognostic features such as the presence of intracranial and parameningeal involvement and for bony destruction. Where applicable, the CT scans were compared with plain radiographs. Follow-up scans after treatment were also reviewed and, where available, histology was correlated with any residual masses. CT was valuable in the initial assessment of the extent of the primary tumor and, therefore, in treatment planning. It was useful in identifying poor prognostic features such as bony destruction and intracranial extension but was not found to be helpful in elucidating the nature of residual or recurrent masses.

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