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KMID : 0357919860200020203
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Korean Journal of Pathology
1986 Volume.20 No. 2 p.203 ~ p.208
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Embryoral Rhabdomyosarcoma of the Biliary Tree
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박금민/Keum Min Park
이동화/강득용/Dong Wha Lee/Duk Yong Kang
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Abstract
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Although embryonal rhabdomyosarcoma has been frequently reported in genitourinary
tract, head and neck, embryonal rhabdomyosarcoma of the biliay tree is an extremely
rarte. It must be considered in differential diagnosis of jaundice in childhood. About 35
cases have teen reported in world literatures, since first description on 1875, by Moxon
and Wilks. We present a case of embryonal rhabdomyosarcoma of the biliary tree in a
25 months old boy with brief review of literatures. Since chief complaints of this case
were jaundice and loss of appetite, the first clinical diagnosis was infectious hepatitis.
On ultrasound examination, there is a space occupying lesion in right lobe of liver and
it was diagnosed as hematoma. Choledochoduodenostomy with biopsy was done. The
operation revealed dilated common bile dut and both hepatic ducts which were filled
with light brown jelly like materials and diagnosed as embryonal rhabdomyosarcma on
frozen and permanent sections. In gross and histologic characteristics, this tumor
resembles embryonal rthabdomyosarcoma (sarcoma botryoides) in other locations. In
spite of chemo-and radiotherapy after operaion, the boy was died.
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