Sarcoma botryoides
Sarcoma botryoides | |
---|---|
Synonyms | Botryoid rhabdomyosarcoma |
Pronounce | N/A |
Specialty | N/A |
Symptoms | Vaginal bleeding, abdominal pain, urinary obstruction |
Complications | Metastasis, recurrence |
Onset | Typically in children under 5 years old |
Duration | Variable, depends on treatment response |
Types | N/A |
Causes | Unknown, possibly genetic factors |
Risks | Li-Fraumeni syndrome, Beckwith-Wiedemann syndrome |
Diagnosis | Biopsy, imaging studies |
Differential diagnosis | Embryonal rhabdomyosarcoma, vaginal polyp, cervical polyp |
Prevention | N/A |
Treatment | Surgery, chemotherapy, radiation therapy |
Medication | N/A |
Prognosis | Generally good with treatment, but depends on stage and location |
Frequency | Rare |
Deaths | N/A |
Sarcoma botryoides is a subtype of rhabdomyosarcoma, a rare and aggressive form of cancer that primarily affects children. It is characterized by its grape-like appearance and is most commonly found in the urinary bladder and the vagina in females.
Epidemiology
Sarcoma botryoides is most commonly diagnosed in children under the age of 8, with a peak incidence between the ages of 1 and 3. It is more common in females than in males.
Pathology
The tumor is characterized by its grape-like appearance, hence the name "botryoides", which is derived from the Greek word for "grape". It is composed of small, round, blue cells that are similar in appearance to rhabdomyoblasts. The tumor cells are typically arranged in a cambium layer beneath the epithelium.
Clinical Presentation
Patients with sarcoma botryoides typically present with a polypoid mass protruding from the affected organ. In females, this is often the vagina, and in males, it is often the urinary bladder. Other symptoms may include bleeding, pain, and urinary or bowel obstruction.
Diagnosis
Diagnosis of sarcoma botryoides is typically made based on the characteristic appearance of the tumor on imaging studies, such as ultrasound or MRI. Confirmation of the diagnosis is made through biopsy of the tumor and histopathological examination.
Treatment
Treatment of sarcoma botryoides typically involves a combination of surgery, chemotherapy, and radiation therapy. The goal of treatment is to remove the tumor and prevent recurrence.
Prognosis
The prognosis for patients with sarcoma botryoides is generally poor, due to the aggressive nature of the tumor and the young age of the patients. However, with early detection and aggressive treatment, survival rates can be improved.
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Contributors: Prab R. Tumpati, MD