Additional Examinations For Rhabdomyosarcoma In Special Sites

1. Parameningeal head and neck:

a. Ear, nose, and throat examination under anesthesia b. Ophthalmologic examination c. Cerebrospinal fluid cytology d. Brain MRI

e. Head CT scan (to evaluate bone involvement)

f. Surgical intervention: incisional biopsy; except for orbital lesions, gross removal usually not feasible.

2. Genitourinary, abdominal, pelvic:

a. Cystoscopy, vaginoscopy b. Ultrasonography c. CT scan of retroperitoneal nodes d. Surgical intervention: incisional or cystoscopic biopsy.

3. Thorax:

a. Chest radiograph and CT

c. Surgical intervention: complete excision, if possible.

4. Extremities:

a. Bone radiographs b. MRI

c. Surgical intervention: biopsy of regional lymph nodes, wide local excision, if possible.

a. MRI (or myelogram) if lesion is paraspinal b. Surgical intervention: complete excision, if possible.

6. Gastrointestinal:

a. Liver scan b. Surgical intervention: complete excision, if possible.

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