No abstract

Rhabdomyosarcoma (RMS) is a relatively rare malignancy but the most common cause of soft tissue sarcoma in children. It can present anywhere in the body, but most seen in the extremities, head, neck and genitourinary organs. The two most common types of RMS are embryonal RMS and the more aggressive kind, the alveolar RMS. Development of RMS occurring after trauma is uncommon but as children are readily prone for lumps and bumps due to their adventurous and playful nature, it is much important to always keep in mind the possibility of malicious causes of swelling as any delay in diagnosis directly affects the outcome of the disease. Here we present an infant who presented with symptoms suggestive of post trauma swelling but later was confirmed as embryonal RMS. The child underwent chemotherapy as the treatment of option.

No abstract

Nodular fasciitis (NF) is an uncommon and benign tumour-like fibroblastic proliferation that is difficult to distinguish from sarcoma both clinically and histologically. In addition, it is a type of lesion characterised by having a potential for spontaneous regression. NF is frequently misdiagnosed due to its rapid growth, rich cellularity, and mitotic figure. Although NF is only rarely diagnosed in children, the head and neck represent the most common locations for NF among this population. The cause of NF remains unknown, however trauma is believed to be an important triggering factor. We describe an unusual case of NF in the posterior ethmoid sinus in a six-year-old boy with no history of trauma. The NF was incidentally noted on a computed tomography scan after the patient complained of a squint. The diagnosis of NF was also supported by histopathology and specific immunohistological staining. A surgical biopsy was performed, and no recurrence was observed after one year.