Presentation
Sore throat, epistaxis
Patient Data
Hypodense oval lesion measuring 24x16x15 mm with rim enhancement in soft palate, left of midline.
Numerous cervical lymph nodes up to 15 mm in diameter.
Case Discussion
13-year old previously healthy girl presented with a sore throat and epistaxis. The latter ceased spontaneously. Unremarkable medical history, except for recurrent tonsillitis as a toddler.
Endoscopy of oral cavity and oropharynx was normal.
Late arterial phase CT of neck demonstrated a small hypodense lesion with enhancing rim in the soft palate, left of midline. Thoracic and abdominal contrast-enhanced CT (not shown) did not reveal metastatic spread. Lesion promptly resected.
Patohlogy report: Embryonal rhabdomyosarcoma.
Embryonal rhabdomyosarcoma (ERMS) is the most common soft tissue sarcoma in children.
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