Journal
ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY
Volume 131, Issue 3, Pages 326-330Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/00034894211021261
Keywords
alveolar soft part sarcoma; pediatrics; head and neck cancer; radial forearm free flap reconstruction
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Alveolar soft part sarcoma is rare and typically affects individuals between 15 and 35 years old, with few cases reported in children under 5 years old. Surgical resection and reconstruction have shown to be successful in treating this type of sarcoma, with this case presenting no recurrence 4 years post-operatively.
Objectives: Alveolar soft part sarcoma is a rare subset of soft tissue sarcomas, typically presenting in subjects 15 to 35 years of age. Usual presentation sites are the trunk, extremities, and the head and neck. Subjects younger than 5 years are rarely affected. Methods: In this retrospective case report, we present a 16-month old male with a rapidly growing soft tissue mass of the anterior and posterior tongue, found to be alveolar soft part sarcoma. Results: The subject was treated with primary surgical resection and the resulting defect was reconstructed with a radial forearm free flap. Conclusions: To our knowledge, this is the youngest subject to have been diagnosed with alveolar soft part sarcoma. Surgical extirpation and microvascular reconstruction were successful, and the patient remains disease free 4 years post-operatively.
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