Tuberculosis mimicking Rhabdomyosarcoma Metastasis in a pediatric patient

Tuberculosis mimicking Rhabdomyosarcoma Metastasis in a pediatric patient

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.”

___

  • 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.
Archives of Current Medical Research-Cover
  • Yayın Aralığı: Yılda 3 Sayı
  • Başlangıç: 2020
  • Yayıncı: 14 Mart Tıbbiyeliler Derneği
Sayıdaki Diğer Makaleler

Determining the knowledge, attitude and practice about the environment and recycling of individuals living in a public housing compound: A quantitative, qualitative mixed method study

Hülya ŞİRİN, Ahmet ARSLAN, Gamze KETREZ

Which glomerular filtration rate estimation formula should be used for nephrological evaluation in patients with common variable immune deficiency?

Gökhan AYTEKİN, İsmail BALOĞLU, Eray YILDIZ, Fatih ÇÖLKESEN, Hakan OZER, Şevket ARSLAN, Ahmet ÇALIŞKANER, Kültigin TÜRKMEN

A rare chest wall tumor: A case report of angiomatosis

Mehmet ÇETİN, İlteriş TÜRK, Yetkin AĞAÇKIRAN, Ebru SAYILIR GÜVEN, Pınar BIÇAKÇIOĞLU

Vascular surgery experiences and the results in the first two years of a newly-established neurosurgery clinic

Mehmet Ziya ÇETİNER, Duygu BAYKAL, Fatih AYDEMİR

Comparison of the clinical results of mobilebearing and fixed-bearing prostheses used for total knee arthroplasty in patients with osteoarthritis

Numan ATILGAN, Mehmet TÜRKER, Özlem ORHAN, Recep MEMİK

Outpatient use of tPA to recanalize thrombosed native fistulas a case series and discussion of literature

Isil YİLDİZ, Demet GÜNDÜZ, Can ÇALIŞKAN

Prevalence of COVID-19 vaccine hesitancy among dentists in Turkey

Nevra KARAMÜFTÜOĞLU, Fatma Semanur KORKMAZ ÖNER, Asiye UĞRAŞ DİKMEN, Seçil ÖZKAN

An analysis of emergency department-boarded patients awaiting inpatient beds

Şule YAKAR, Levent AVSAROGULLARİ

A new cystatin C based model for predicting COVID-19- associated mortality

Sümeyra KOYUNCU, Serhat KOYUNCU, Halil İbrahim AKDOĞAN, Mehmet KARA, Göksel GÜVEN, Didem BARLAK KETİ, Hilal SİPAHİOĞLU, Gözde ERTÜRK ZARARSIZ, İsmail KOÇYİĞİT, Bülent TOKGÖZ

Tuberculosis mimicking Rhabdomyosarcoma Metastasis in a pediatric patient

İlteriş TÜRK, Mehmet ÇETİN, Nesrin GÜRÇAY, Neriman SARI, Şeref ÖZKARA, Pınar BIÇAKÇIOĞLU