Hasan Nabil AL Houri*, Tagrid Younes Ahmad, Abdullah Nabil AL Houri, Nagham Younes Ahmad
Al Razi Hospital, Syria
Citation: Al Houri HN, Ahmad TY, Al Houri AN, Ahmad NY (2019) Aggressive orbital rhabdomyosarcoma in adulthood: A case report in a public hospital in Damascus, Syria. SciTech Immuno-Microbiology 2019. Dubai: UAE
Received: April 26, 2019 Accepted: April 27, 2019 Published: April 29, 2019
Orbital rhabdomyosarcoma (RMS) is a highly malignant tumor that originates mainly from mesenchymal tissue. It is considered a rare childhood malignancy; therefore, presentation in adulthood is scarce. In this case report, a 36‑year‑old male patient presented with a rapidly progressive RMS of the left orbit. The patient was treated in a different institution with radiochemotherapy with good response. However, relapse occurred after 2 months of completing the course, as rapid growing proptosis. Computed tomography scan revealed a lesion in the left orbit with invasion of the left ethmoid cells and the left maxillary sinus. Exenteration of the left orbit with the left partial maxillectomy and ethmoidectomy was performed. RMS is a highly aggressive malignancy that should be considered in any orbital mass that progresses rapidly. Surgery should be the first line in treatment. Delay in diagnosis and inappropriate treatment negatively affects the outcome.