Presentation
Dysmenorrhea and pelvic pain.
Patient Data
There is a 30 x 60 x 75 mm entirely vaginal heterogeneous signal mass with predominantly cystic changes with extension to the cervical canal and causing lifting up the cervical lips.
The mass shows heterogenous enhancement on post-contrast images and water restriction on DWI images.
No evidence of parametrium invasion and pelvic adenopathy is depicted.
The patient underwent surgical resection and histopathological examination revealed a spindle cell tumor compatible with embryonal rhabdomyosarcoma, botryoid type.
Case Discussion
Embryonal rhabdomyosarcoma is the most common malignancy arising in the pediatric female genitourinary tract with sarcoma botryoid type being the most common variant of the tumor.