How to diagnoses and treat biliary rhabdomyosarcoma efficiently?
BRMS is an uncommon cause of recurrent jaundice and conjugated hyperbilirubinemia in children. Because its presentation may mimic that of a choledochal cyst, the correct diagnosis is frequently made intraoperatively at a planned choledochal cystectomy. However, identification of this entity prior to surgery is important because early surgery may carry excess morbidity and mortality. An article to be published on August 14, 2008 in the World Journal of Gastroenterology reports this case. The research team led by Ryan W. Himes from Texas Children’s Hospital presented a patient with BRMS in whom therapeutic endoscopy was used successfully as an adjunct to chemotherapy and radiotherapy. Authors presented the case of a 3-year-old with BRMS in whom endoscopic retrograde cholangiopancreatography (ERCP) was successfully used to obtain a tissue specimen for diagnosis and to place a stent to relieve the biliary obstruction while chemotherapeutics were employed, obviating the need for surgery and
