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Case Records of the Massachusetts General Hospital
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Volume 350:494-502 January 29, 2004 Number 5
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Case 4-2004 — A Nine-Month-Old Boy with an Orbital Rhabdomyosarcoma
Alison M. Friedmann, M.D., Nancy J. Tarbell, M.D., Pamela W. Schaefer, M.D., and Benjamin L. Hoch, M.D.

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Presentation of Case

Dr. Torunn Yock (Radiation Oncology): A nine-month-old male infant was referred to this hospital for treatment of an orbital rhabdomyosarcoma. The patient had been well until the age of six months, when excessive tearing developed. Over the next two days, his right eye was noted to be puffy and red. His pediatrician made a diagnosis of conjunctivitis. Topical treatment with a combination of bacitracin and polymixin B sulfate (Polysporin) had no effect, and two days later, proptosis developed (Figure 1A). The infant was referred to an ophthalmologist for evaluation and treatment of a possible orbital infection. A computed . . . [Full Text of this Article]

Pathological Discussion

Anatomical Diagnosis

Discussion of Management

Options for Chemotherapy and Potential Problems

Options for Radiation Therapy


Source Information

From the Division of Pediatric Hematology–Oncology, Pediatric Service (A.M.F.), and the Departments of Radiation Oncology (N.J.T.), Radiology (P.W.S.), and Pathology (B.L.H.), Massachusetts General Hospital; and the Departments of Pediatrics (A.M.F.), Radiation Oncology (N.J.T.), Radiology (P.W.S.), and Pathology (B.L.H.), Harvard Medical School.


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