Shahid Majeed, Khalid Mahmood.
Rhabdomyosarcoma of the chest wall in an adult.
Pak Armed Forces Med J Jan ;53(1):104-6.

A 30 years male, reported with history of a painful swelling on the right lower chest wall of 6 months duration. The swelling was small and painful initially. It gradually increased in size, but the pain decreased. There was no other localized symptom, except that the patient could not sleep on the right side due to feeling of pain on pressure. There was no history of cough, fever and there were no urinary or bowel complaints. Local examination showed an oval swelling measuring about 4x3 cm, on the right chest wall overlying 7th-8th ribs in the midaxillary line. It was firm in consistency, mobile, mildly tender and adherent to the overlying skin but not to the deeper structures. There was no cough impulse and fluctuation was negative. The swelling was non-compressible, non-reducible, and non-pulsatile. His chest X-ray and Ultrasound abdomen did not reveal any positive finding. FNAC of the swelling was carried out and it was excision of the tumor was planned. Under general anesthesia, wide excision of the tumor with 1.5-2 cm of the surrounding normal tissue, along with the overlying skin was done and sent for histopathology. Drain was placed and wound was closed. The wound healed satisfactorily and stitches were removed on the 7th post-operative day. The Histopathology report confirmed it to be "pleomorphic rhabdomyosarcoma". Post-operative CT scan of the chest, did not reveal any evidence of residual tumor or any lesion elsewhere.

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