A Rare Case of Alveolar Rhabdomyosarcoma with Pancreatic Metastases and Pancreatitis Detected on FDG PET-CT Imaging

Abstract

FDG PET-CT (F18-Flourodeoxyglucose Positron Emission Tomography-Computed Tomography) imaging is very useful in detection, staging, re-staging and monitoring therapy in various tumors. Rhabdomyosarcoma is known as an aggressive tumor and have a tendency of metastasize. Herein we report an alveolar rhabdomyosarcoma case in a 22 year old male patient with a very rare pancreatic metastases.

Keywords

• rhabdomyosarcoma
• fluorodeoxyglucose
• positron emission tomography

References

1. 1. Morrison BA. Soft tissue sarcomas of the extremities. Proc. Bayl Univ. Med Cent 2003,16: 285-90.
2. 2. Liang W, Xu S. Adult Pancreatic Rhabdomyosarcoma: One Rear Case and Review of the Literature. European Journal of Radiology Extra 2011;79(1):e21–2. https://doi.org/10.5505/tjo.2019.2016
3. 3. Pappo, A. S., Shapiro, D. N., & Crist, W. M. (1997). Rhabdomyosarcoma. Biology and treatment. Pediatric clinics of North America, 44(4), 953–972. https://doi.org/10.1016/s0031-3955(05)70539-3
4. 4. Shirafkan Md, A., Boroumand Md, N., Komak Md, S., Duchini Md, A., & Cicalese Md, L. (2015). Pancreatic pleomorphic rhabdomyosarcoma. International journal of surgery case reports, 13, 33–36. https://doi.org/10.1016/j.ijscr.2015.05.029
5. 5. Clark, M. A., Fisher, C., Judson, I., & Thomas, J. M. (2005). Soft-tissue sarcomas in adults. The New England journal of medicine, 353(7), 701–711. https://doi.org/10.1056/NEJMra041866
6. 6. SAKHRI S, BOUHANI M, JAIDANE O, ZNAIDI N, CHARGUI R, RAHAL K (2020). Primary Rhabdomyosarcoma of Pancreas: An Extremely Rare Entity. Türk Onkoloji Dergisi, 35(2), 211 - 213. https://doi.org/10.5505/tjo.2019.2016
7. 7. Dalfior, D., Eccher, A., Gobbo, S., Brunelli, M., Martignoni, G., Menestrina, F., Dalla, P. P., & Dvornik, G. (2008). Primary pleomorphic rhabdomyosarcoma of the kidney in an adult. Annals of diagnostic pathology, 12(4), 301–303.
8. 8. Nemade, B., Talapatra, K., Shet, T., Banavali, S., Muckaden, M. A., & Laskar, S. (2007). Embryonal rhabdomyosarcoma of the biliary tree mimicking a choledochal cyst. Journal of cancer research and therapeutics, 3(1), 40–42. https://doi.org/10.4103/0973-1482.31971

9. 9. Yang, J., Codreanu, I., Servaes, S., & Zhuang, H. (2012). Metastatic embryonal rhabdomyosarcoma to the pancreas presenting as acute pancreatitis detected by FDG PET/CT. Clinical nuclear medicine, 37(7), 694–696. https://doi.org/10.1097/RLU.0b013e31824c6066