Gluteal rhabdomyosarcoma in a newborn – A case report

Abstract

Rhabdomyosarcoma is the most common soft tissue malignancy of childhood; however, can be seen very rarely
in the neonatal period also. It may arise anywhere in the body; head and neck, and genitourinary regions being
the most frequent sites. Truncal and gluteal rhabdomyosarcoma is relatively rare occurrence. We report a
neonate with embryonal rhabdomyosarcoma arising from the gluteal muscles at birth. Ultrasonography and
Magnetic resonance imaging raised the possibility of hemangioma lymhangioma. Total excision was done and
chemotherapy given. The child had a recurrence after 6 months where the nodule along with the scar was
excised. A chemoport was introduced and the child underwent further 4 cycles of chemotherapy after
recurrence. He is well on 2 years follow up without any disability.