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Case Rep Otolaryngol. 2013;2013:758416. doi: 10.1155/2013/758416. Epub 2013 Jun 13.

Multifocal adult rhabdomyoma of the head and neck manifestation in 7 locations and review of the literature.

Case reports in otolaryngology

Lorraine A de Trey, Stephan Schmid, Gerhard F Huber

Affiliations

  1. Department of Otolaryngology, Head and Neck Surgery, University Hospital Zurich, Frauenklinikstraße 24, 8091 Zurich, Switzerland.

PMID: 23841004 PMCID: PMC3697226 DOI: 10.1155/2013/758416

Abstract

Background. Adult rhabdomyoma is a rare benign tumour with the differentiation of striated muscle tissue, which mainly occurs in the head and neck region. Twenty-six cases of multifocal adult rhabdomyoma are documented in the literature. Method. We report a 55-year-old male with simultaneous diagnosis of 7 adult rhabdomyomas and review the literature of multifocal adult rhabdomyoma. Result. Review of the literature revealed 26 cases of multifocal adult rhabdomyoma, of which only 7 presented with more than 2 lesions. Mean age at diagnosis was 65 years with a male to female ratio of 5.5 : 1. Common localizations were the parapharyngeal space (36%), larynx (15%), submandibular (14%), paratracheal region (12%), tongue (11%), and floor of mouth (9%). Besides the known radiological features of adult rhabdomyoma, our case showed FDG-uptake in (18) F-FDG PET/CT. Conclusion. This is the first case of multifocal adult rhabdomyoma published, with as many as 7 simultaneous adult rhabdomyomas of the head and neck.

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