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KMID : 0371319950490060906
Journal of the Korean Surgical Society
1995 Volume.49 No. 6 p.906 ~ p.910
A Case of Rhabdomyosarcoma of the Liver in Child



Abstract
Rhabdomyosarcoma of the biliary tree in childhood is extremely rare. It was reported about 40 cases in the world. In Korea there are a few reports on rhabdomyosarcoma in biliary tree, but no report on rhabdomyosarcoma developed in the liver. This
is the
first case report on rhabdomyosarcoma of the liver in Korea. A 29 months old female presented with intermitent abdominal pain, and revealed palpable mass in epigastric area. On CAT scan, a single large mass(6.9¡¿7.3¡¿4.7cm) was noted in the left
lobe of
the liver which was confirmed after left hepatic lobectomy. Cut surgace fevealed a relatively well demarcated, white homogenous tumor without necrosis or hemorrhage(See Fig. 2) . Microscopic examination revealed malignant mesenchymal tumor of
liver
composed of primitive round to oval cells with hyperchromatic muclei and elongated strap-shaped cells with long elongated cytoplasmic processes beneath the bile ductal epithelium. It was diagnosed as botryoid-type embryonal rhabdomyosarcoma.
After
surgery, she recelved chemotherapy 15 times over 11 months. She is in follow-up without evidence of recurrence.
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