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KMID : 0370920110280010070
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Yeungnam Univercity Journal of Medicine
2011 Volume.28 No. 1 p.70 ~ p.76
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Paratesticular Alveolar Rhabdomyosarcoma with Multiple Lymph Nodes Metastasis Successfully Treated with Chemotherapy
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Lee Ha-Young
Hyun Myung-Soo
Lee Kyoung-Hee
Kim Min-Kyoung
Koh Sung-Ae
Sohn Se-Hoon
Park Sung-Woo
Kim Dong-Gun
Kim Myung-Jin
Jang Hyo-Jin
Kim Mi-Jin
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Abstract
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Rhabdomyosarcomas are soft tissue sarcomas; while extremely rare in adults, they are one of the most common neoplasms in children and adolescents. Histologically, they can be classified into embryonal(ERMS), alveolar(ARMS), pleomorphic, and undifferentiated types. The ARMS type is very rare, and is associated with a poor prognosis. Common primary sites of ARMS are the trunk and extremities. We report on a case of paraaortic, supraclavicular, and axillary lymph node metastasis from paratesticular ARMS treated with VAC(vincristine, dactinomycin, cyclophosphamide)/ IE(ifosfamide, etoposide) chemotherapy in a young adult. Administration of six cycles of chemotherapy with VAC/ IE resulted in complete remission. The patient has maintained complete remission over the past 27 months.
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KEYWORD
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Rhabdomyosarcoma, Alveolar, Lymphatic Metastas
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