CASE REPORT
Year : 2015  |  Volume : 17  |  Issue : 1  |  Page : 37-41

Primary orbital rhabdomyosarcoma in an 11-year-old boy: A management challenge in a resource limited environment


1 Department of Ophthalmology, Benue State University Teaching Hospital, Makurdi, Benue State, Nigeria
2 Department of Pathology , Benue State University Teaching Hospital, Makurdi, Benue State, Nigeria
3 Department of Radiology, Benue State University Teaching Hospital, Makurdi, Benue State, Nigeria

Correspondence Address:
Keziah N Malu
Department of Ophthalmology, Benue State University Teaching Hospital, PMB 102131, Makurdi, Benue State
Nigeria
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2276-7096.148696

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Rhabdomyosarcoma (RMS) is a very rare cancer, with only about 250-350 cases of children below 21 years of age seen in USA every year. Nigerian hospital studies have shown about 1-4 cases a year. Primary orbital RMS occurs mainly in children, with 90% below the age of 16 and a mean age of 5-7 years. It arises from the orbit and eyelid in up to 10% of all cases. The superonasal part of the orbit is the most favored position, giving rise to proptosis with lateral displacement of the eyeball. Orbital RMS enjoys a relatively good prognosis as a result of improved radiological imaging with computed tomography and magnetic resonance imaging, and adequate chemotherapy or radiation in advanced nations. In developing societies with limited resources, it still carries a poor prognosis. We present a case report of an 11-year-old boy with rapidly progressing tumor, which was confirmed histologically to be orbital RMS. The case report illustrates challenges faced in the management of orbital RMS in a resource limited environment.


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