Botryoid rhabdomyosarcoma of the biliary tract in children: a unique case report.

@article{Zampieri2006BotryoidRO,
  title={Botryoid rhabdomyosarcoma of the biliary tract in children: a unique case report.},
  author={Nicola Zampieri and F. S. Camoglio and Michele Corroppolo and Mariangela Cecchetto and Sara Ornis and Alberto Ottolenghi},
  journal={European journal of cancer care},
  year={2006},
  volume={15 5},
  pages={
          463-6
        }
}
Rhabdomyosarcoma (RMS) is the most common tumour of the biliary tree in childhood. In children, it is a rare lesion, accounting for about 1% of all RMS. Hepatobiliary botryoid RMS is a disease affecting young children at a median age of about 3 years. In literature, the radiological findings of hepatobiliary RMS have been described in small series and some case reports. In this case report, we present a rare case of RMS of the extrahepatic biliary tree initially diagnosed as a choledochal cyst. 
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The key to diagnosis is to distinguish solid component of the tumor from organized sludge seen in choledochal cyst, which plays a vital role for preoperative staging as well.
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TLDR
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TLDR
Better outcomes in this series were associated with the feasibility of conservative surgery due to the favorable location of the tumor, in particular in the common bile duct, which might obviate the need for demolitive surgery or liver transplant, which were linked to worse outcomes in the series.
Diagnostic and therapeutic role of endoscopic retrograde cholangiopancreatography in biliary rhabdomyosarcoma.
TLDR
Endoscopic retrograde cholangiopancreatography was successfully used both diagnostically and therapeutically in a 3-year-old boy with BRMS, thus obviating the need for surgery and its attendant risks of morbidity and mortality.
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