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Embryonal rhabdomyosarcoma of the prostate in a 19 year old

Posted by: Philip Alex | Posted on: May 27th, 2006 | 0 Comments

A 19 year old boy presented to us with edema, difficulty in passing urine and a pelvic mass extending till the umbilicus. He had this for the past six months, and had been to Lucknow once to be treated with little benefit. He apparently had received two cycles of chemotherapy there with again, little benefit.

A per rectal exam revealed a hard mass anteriorly pushing the rectum backwards. A CT scan revealed bilateral hydronephrosis with a large mass in the prostatic region invading the bladder and pushing the rectum back. The large mass was the bladder.

A prostatic biopsy revealed embryonal rhabdomyosarcoma prostate.

His preop creatinine was 3.2mg%. He underwent a trocar suprapubic cystostomy to drain and decompress his obstructed system. After his creatinine had decreased to 1.7mg% he underwent exploration, total cystectomy, prostatectomy, pelvic node dissection, and bilateral ureteric reimplantation into an ileal conduit.

By the grace of God he is now doing well postoperatively and will be scheduled for post op chemotherapy.

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