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Tuberculosis mimicking Rhabdomyosarcoma Metastasis in a pediatric patient

Year 2022, Volume: 3 Issue: 2, 158 - 162, 31.05.2022

Abstract

In childhood sarcomas, the lung is one of the most common organs where metastasis occurs. Immunosuppression caused by antineoplastic treatments for primary cancer may facilitate the reactivation of latent tuberculosis (TB) infection, which can mimic cancer metastasis. The thought of lung metastasis is an important entity that changes the follow-up and treatment approach. Evaluating TB in initial differential diagnosis can prevent unjustifiable chemoradiotherapy and surgery. In this case report, we submit a 2-years-old boy under follow up of alveolar type rhabdomyosarcoma in masseter muscle also received chemoradiotherapy with a pre-diagnosis of lung metastasis patient who underwent surgical resection when the treatment didn’t produce any benefit and all of the 34 excised nodules from the right lung were reported as “granulomatous inflammation suggestive of TB.”

References

  • 1. Weiss AR, Lyden ER, Anderson JR, Hawkins DS, Spunt SL, Walterhouse DO et al. Histologic and clinical characteristics can guide staging evaluations for children and adolescents with rhabdomyosarcoma: a report from the Children’s Oncology Group Soft Tissue Sarcoma Committee. J Clin Oncol. 2013 Sep 10;31(26):3226-32.
  • 2. Hiniker SM, Donaldson SS. Recent advances in understanding and managing rhabdomyosarcoma. F1000Prime Rep. 2015 May 12;7:59.
  • 3. Yang L, Takimoto T, Fujimoto J. Prognostic model for predicting overall survival in children and adolescents with rhabdomyosarcoma. BMC Cancer. 2014 Sep 5;14:654.
  • 4. Marais BJ, Schaaf HS. Tuberculosis in children. Cold Spring Harb Perspect Med. 2014 Jul 18;4(9):a017855.
  • 5. Sümbül AT, Sezer A, Abali H, Gültepe B, Koçer E, Reyhan M et al. An old enemy not to be forgotten during PET CT scanning of cancer patients: tuberculosis. Contemp Oncol (Pozn). 2016;20(2):188-91.
  • 6. Rodeberg D, Arndt C, Breneman J, Lyden E, Donaldson S, Paidas C et al. Characteristics and outcomes of rhabdomyosarcoma patients with isolated lung metastases from IRS-IV. J Pediatr Surg. 2005 Jan;40(1):256-62.
  • 7. Scanagatta P, Girelli L. Metastasectomy in pediatric patients: indications, technical tips and outcomes. J Thorac Dis. 2017 Oct;9(Suppl 12):S1299-S1304.
  • 8. Kayton ML. Pulmonary metastasectomy in pediatric patients. Thoracic Surgery Clinics. 2006;16(2):167–83.
  • 9. Dobler CC, Cheung K, Nguyen J, Martin A. Risk of tuberculosis in patients with solid cancers and haematological malignancies: a systematic review and meta-analysis. Eur Respir J. 2017 Aug 24;50(2):1700157.
  • 10. Stefan DC, Kruis AL, Schaaf HS, Wessels G. Tuberculosis in oncology patients. Ann Trop Paediatr. 2008 Jun;28(2):111-6.
  • 11. Kaplan MH, Armstrong D, Rosen P. Tuberculosis complicating neoplastic disease. A review of 201 cases. Cancer. 1974 Mar;33(3):850-8.
  • 12. Tuberculosis Diagnosis and Treatment Guideline, Ministry of Health, Publication Number:1129, Ankara, May 2019.
  • 13. Cruz AT, Airewele G, Starke JR. Tuberculosis in pediatric oncology and bone marrow transplantation patients. Pediatr Blood Cancer. 2014 Aug;61(8):1484-5.
Year 2022, Volume: 3 Issue: 2, 158 - 162, 31.05.2022

Abstract

References

  • 1. Weiss AR, Lyden ER, Anderson JR, Hawkins DS, Spunt SL, Walterhouse DO et al. Histologic and clinical characteristics can guide staging evaluations for children and adolescents with rhabdomyosarcoma: a report from the Children’s Oncology Group Soft Tissue Sarcoma Committee. J Clin Oncol. 2013 Sep 10;31(26):3226-32.
  • 2. Hiniker SM, Donaldson SS. Recent advances in understanding and managing rhabdomyosarcoma. F1000Prime Rep. 2015 May 12;7:59.
  • 3. Yang L, Takimoto T, Fujimoto J. Prognostic model for predicting overall survival in children and adolescents with rhabdomyosarcoma. BMC Cancer. 2014 Sep 5;14:654.
  • 4. Marais BJ, Schaaf HS. Tuberculosis in children. Cold Spring Harb Perspect Med. 2014 Jul 18;4(9):a017855.
  • 5. Sümbül AT, Sezer A, Abali H, Gültepe B, Koçer E, Reyhan M et al. An old enemy not to be forgotten during PET CT scanning of cancer patients: tuberculosis. Contemp Oncol (Pozn). 2016;20(2):188-91.
  • 6. Rodeberg D, Arndt C, Breneman J, Lyden E, Donaldson S, Paidas C et al. Characteristics and outcomes of rhabdomyosarcoma patients with isolated lung metastases from IRS-IV. J Pediatr Surg. 2005 Jan;40(1):256-62.
  • 7. Scanagatta P, Girelli L. Metastasectomy in pediatric patients: indications, technical tips and outcomes. J Thorac Dis. 2017 Oct;9(Suppl 12):S1299-S1304.
  • 8. Kayton ML. Pulmonary metastasectomy in pediatric patients. Thoracic Surgery Clinics. 2006;16(2):167–83.
  • 9. Dobler CC, Cheung K, Nguyen J, Martin A. Risk of tuberculosis in patients with solid cancers and haematological malignancies: a systematic review and meta-analysis. Eur Respir J. 2017 Aug 24;50(2):1700157.
  • 10. Stefan DC, Kruis AL, Schaaf HS, Wessels G. Tuberculosis in oncology patients. Ann Trop Paediatr. 2008 Jun;28(2):111-6.
  • 11. Kaplan MH, Armstrong D, Rosen P. Tuberculosis complicating neoplastic disease. A review of 201 cases. Cancer. 1974 Mar;33(3):850-8.
  • 12. Tuberculosis Diagnosis and Treatment Guideline, Ministry of Health, Publication Number:1129, Ankara, May 2019.
  • 13. Cruz AT, Airewele G, Starke JR. Tuberculosis in pediatric oncology and bone marrow transplantation patients. Pediatr Blood Cancer. 2014 Aug;61(8):1484-5.
There are 13 citations in total.

Details

Primary Language English
Subjects Surgery, Oncology and Carcinogenesis
Journal Section CASE REPORTS
Authors

İlteriş Türk 0000-0001-6385-4722

Mehmet Çetin 0000-0001-5471-2239

Nesrin Gürçay 0000-0002-6067-7342

Neriman Sarı 0000-0001-5723-1385

Şeref Özkara 0000-0002-2121-6770

Pınar Bıçakçıoğlu 0000-0002-7058-6508

Publication Date May 31, 2022
Submission Date May 7, 2022
Published in Issue Year 2022 Volume: 3 Issue: 2

Cite

APA Türk, İ., Çetin, M., Gürçay, N., Sarı, N., et al. (2022). Tuberculosis mimicking Rhabdomyosarcoma Metastasis in a pediatric patient. Archives of Current Medical Research, 3(2), 158-162.

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