Abstract
Rhabdomyosarcoma (RMS) is the most frequent soft tissue sarcoma (STS) in children and adolescents. In Spain the annual incidence is 4.4 cases per million children < 14 years. It is an uncommon neoplasm in adults, but 40% of RMS are diagnosed in patients over 20 years of age, representing 1% of all STS in this age group. RMS can appear anywhere in the body, with some sites more frequently affected including head and neck, genitourinary system and limbs. Assessment of a patient with suspicion of RMS includes imaging studies (MRI, CT, PET-CT) and biopsy. All patients with RMS should receive chemotherapy, either at diagnosis in advanced or metastatic stages, or after initial resection in early local stages. Local control includes surgery and/or radiotherapy depending on site, stage, histology and response to chemotherapy. This guide provides recommendations for diagnosis, staging and treatment of this neoplasm.
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Acknowledgements
We thank Ms. Helena Kruyer for English correction. GEIS (Grupo Español de Investigación en Sarcomas): S. Gallego, D. Bernabeu, N. Hindi, C. Mata, C. Marquez, J. Orcajo, G. Ramírez, C. Romagosa, C. Valverde, R. Vergés. SEHOP (Sociedad Española de Hematología y Oncología Pediátrica): S. Gallego, A. Juan Ribelles, C. Marquez, C. Mata, G. Ramírez, D. Ruano, P. Rubio.
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Gallego, S., Bernabeu, D., Garrido-Pontnou, M. et al. GEIS-SEHOP clinical practice guidelines for the treatment of rhabdomyosarcoma. Clin Transl Oncol 23, 2460–2473 (2021). https://doi.org/10.1007/s12094-021-02654-1
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DOI: https://doi.org/10.1007/s12094-021-02654-1