Congenital Rhabdomyosarcoma of Shoulder


Ahmad Khaleghnejad Tabari 1 , * , Alireza Mirshemirani 1 , Mohsen Rouzrokh 1 , Shahin Nariman 2 , Shaghayegh Hassas-Yeganeh 1 , Atoosa Gharib 3 , Nasibeh Khaleghnejad-Tabari 1

1 Pediatric Surgery Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

2 Dept. of Neonatology, Mofid Children Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

3 Dept. of Pathology, Mofid Children Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

How to Cite: Khaleghnejad Tabari A , Mirshemirani A, Rouzrokh M , Nariman S , Hassas-Yeganeh S, et al. Congenital Rhabdomyosarcoma of Shoulder, Int J Cancer Manag. 2012 ; 5(3):e80822.


International Journal of Cancer Management: 5 (3); e80822
Published Online: September 30, 2012
Article Type: Case Report
Received: January 09, 2011
Accepted: March 19, 2011


A 16-day-old female was referred with congenital swelling on her right shoulder. On examination, there was a hard, round, ecchymotic, nontender, slightly movable, warm and shiny 10x15 cm mass on the right axillary pits which was extended to the right side of neck and chest wall. The mass separated the shoulder from the chest wall causing paralysis of right hand. Chest X-ray, ultrasound and MRI with contrast demonstrated a soft tissue mass suspected to be a hemangioma. The mass rapidly increased in size despite aggressive steroid therapy with rupture and bleeding. On the 45th post natal day the baby was taken to operating room to control the bleeding and if possible total excision of the mass. The mass was separated easily from the surrounding tissue and was excised along with right upper extremity. At the end of surgery the baby had cardiac arrest, and apparently died of Disseminated Intravascular Coagulation (DIC). The final pathology report was Rhabdomyosarcoma (RMS).


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