Download video: Cyst? Fungating Necrotic Lesions and Tumors!
Channel: All Star Medical
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About the child in the video: This 12-year-old boy from Indonesia developed an itchy lump in his left upper lid in December 2004. The lump was excised in a local hospital in February, 2005 with out histology. The lump recurred a few months later. The patient consulted a private ophthalmologist in Kuching and the lump was biopsied in August, 2005. Histology revealed pleomorphic rhabdomyosarcoma and the patient was referred to the oncologist in Sarawak General Hospital. Two cycles of uncomplicated chemotherapy were given in August and September, 2005. However, the tumour failed to respond to the treatments and grew rapidly with central necrosis (Figure 1,2). There were no signs of metastasis on physical examination. Ocular examination was difficult but the patient was able to perceive light (Figure 3). The mass was rubbery and appeared to extend into the orbit. A decision was made to debulk the tumour before further chemotherapy and radiotherapy. Urgent CT scan showed the tumour was confined to the upper lid ie. Group III according to Intergroup Rhabdomyosarcoma Study Group Staging Classification.
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