Primary perineal alveolar rhabdomyosarcoma metastatic to an extraocular muscle

Melanie L. McCarty, Matthew W. Wilson, Fadi Ibrahim, Christine E. Fuller, Larry E. Kun, Barrett G. Haik

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


A 17-year-old boy diagnosed with an alveolar rhabdomyosarcoma involving the perineum and with extensive lymphadenopathy was treated with chemotherapy yet developed metastases to the head and neck 6 months into therapy. Ten months after initial diagnosis, while receiving salvage chemotherapy and radiotherapy, he returned with pain on movement of his left eye, proptosis, and ptosis of the left upper eyelid. Computed tomography (CT) revealed a mass within the left lateral rectus muscle that biopsy confirmed to be metastatic alveolar rhabdomyosarcoma. Despite continued chemotherapy and radiotherapy, he ultimately died of the disease. Alveolar rhabdomyosarcoma from distant sites rarely metastasizes to the extraocular muscles. However, our case shows that alveolar rhabdomyosarcoma may metastasize to the orbit and involve a single muscle.

Original languageEnglish (US)
Pages (from-to)333-335
Number of pages3
JournalOphthalmic plastic and reconstructive surgery
Issue number4
StatePublished - Jul 2003

ASJC Scopus subject areas

  • Surgery
  • Ophthalmology


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