Journal
CLINICAL NEUROPATHOLOGY
Volume -, Issue -, Pages -Publisher
DUSTRI-VERLAG DR KARL FEISTLE
DOI: 10.5414/NP301586
Keywords
petrous bone; rhabdo; frozen section; myosarcoma
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This article presents a rare case of isolated involvement of the anterior portion of the petrous bone by embryonal rhabdomyosarcoma. The patient underwent successful excision surgery with the use of intra-operative frozen section playing a key role.
Objective: Rhabdomyosarcoma is a common soft tissue tumor, but isolated involvement of anterior portion of petrous bone is exceedingly rare. Here, we present a case of embryonal rhabdomyosarcoma involving the anterior petrous without involvement of the mastoid and middle ear. Patient: A 6-year-old boy presented with a progressive right side lower motor neuron facial paresis for 1-month duration along with headache and recurrent vomiting episodes. Radiology showed a contrast-enhancing lesion involving the right petrous apex. He underwent craniotomy and excision of the lesion. Based on the frozen section, a diagnosis of rhabdomyosarcoma was rendered, and gross total resection could be achieved. Postoperative course was uneventful. Conclusion: Isolated petrous bone involvement of embryonal rhabdomyosarcoma is a rare presentation. Intra-operative frozen section plays a key role in decision making regarding the extent of excision. Hence, a prompt and accurate diagnosis is essential in managing these cases.
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