tailieunhanh - Báo cáo y học: " Alveolar soft part sarcoma of the tongue in a 3-year-old boy: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Alveolar soft part sarcoma of the tongue in a 3-year-old boy: a case report | Noussios et al. Journal of Medical Case Reports 2010 4 130 http content 4 1 130 jA CASE REPORTS CASE REPORT Open Access Alveolar soft part sarcoma of the tongue in a 3-year-old boy a case report George Noussios 1 2 Pantelis Chouridis1 loannis Petropoulos1 Kostas Karagiannidis1 and George Kontzoglou1 Abstract Introduction Alveolar soft tissue sarcoma of the tongue is a very rare and aggressive tumor which occurs in infancy with a relatively controversial histogenesis. It may mimic benign vascular neoplasms and may metastasize to the lungs brain or bones. Case presentation We present the case of a three-year-old Caucasian boy who was admitted to our department with a history of dysphagia and two episodes of oral bleeding which had lasted for a period of six months. A thorough histological examination together with imaging techniques form the basis of a reliable diagnosis. Conclusion Alveolar soft tissue sarcoma of the tongue is a rare tumor which occurs in infancy and which is often misdiagnosed pre-operatively. It should therefore be included in the differential diagnosis of oral pediatric lesions. Introduction Alveolar soft part sarcoma of the tongue ASPS is a rare and aggressive malignancy which comprises to of all soft tissue sarcomas. It accounts for up to 5 of all pediatric soft tissue sarcomas apart from rhabdomyosarcomas 1 . In infants and children the most common site of origin is the head and neck region especially the orbit and tongue. It occurs extremely rarely in children under 5 years of age only a dozen such cases have been reported in the last 50 years. We present a case of ASPS occurring in the dorsum of the tongue. Case report A 3-year-old Caucasian boy originating from Northern Greece was admitted to our department in Hippokratio General Hospital of Thessaloniki with a history of dysphagia and repeated episodes of oral bleeding which had lasted for a period of six months. A physical examination