CONSERVATIVE MANAGEMENT OF UTERINE RHABDOMYOSARCOMA

Background: Rhabdomyosarcomas are rare, malignant tumors derived from primitive myogenic precursors and are the most common soft tissue neop lasms in children and adolescents. We used primary chemotherapy and su bsequent removal of the residual polypoid mass to treat an adolescent female with uterine rhabdomyosarcoma. Case: A 15-year-old white adoles cent who presented with a polypoid uterine rhabdomyosarcoma was treate d with vincristine, etopside, and ifosfamide, after which the residual polypoid mass was removed. Conclusion: Treating adolescent females wi th a polypoid uterine rhabdomyosarcoma with primary chemotherapy follo wed by removal of the residual mass preserves reproductive function an d should be considered. (Obstet Gynecol 1998;92:669-70. (C) 1998 by Th e American College of Obstetricians and Gynecologists.)