A 2-year-old Swiss boy was referred to our hospital because of an obstructi
ve sleep apnea syndrome with suspected recurrent choanal polyp. During surg
ery, a polypoid soft mass was found in the right nose and extirpated. The h
istology df the resected polypoid tumor seemed compatible with a polyp; how
ever, immunohistochemistry revealed a botryoid rhabdomyosarcoma. Rhabdomyos
arcomas are rare. The most important differential diagnoses for rhabdomyosa
rcoma are discussed and methods available for differentiating are included.
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