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Rhabdomyosarcoma

Overview

Rhabdomyosarcoma is a uncommon type of cancer. It begins as a growth of cells in the soft tissues of the body. Soft tissues are like the supportive framework that holds our organs and other body parts together. Most often, this cancer starts in the muscles.

While rhabdomyosarcoma can develop anywhere, it's more frequently found in:

  • The head and neck: This includes areas like the face, throat, and mouth.
  • The urinary system: This could be the bladder, kidneys, or other parts of the system.
  • The reproductive system: This includes organs like the vagina, uterus, and testicles.
  • The arms and legs: Cancer in these areas can affect muscles and other soft tissues.

Treatment for rhabdomyosarcoma usually combines different approaches. Surgery is often a key part, removing the cancerous growth. Chemotherapy uses drugs to kill cancer cells throughout the body. Radiation therapy uses high-energy rays to target and destroy cancer cells. The best treatment plan depends on several factors: where the cancer started, how big it is, and whether it has spread to other parts of the body.

Scientists have made significant progress in diagnosing and treating rhabdomyosarcoma. This has led to better outcomes for people diagnosed with this cancer. More and more people are surviving for many years after being diagnosed with rhabdomyosarcoma.

Symptoms

Rhabdomyosarcoma symptoms vary depending on where the cancer forms in the body.

Head and Neck: If the cancer starts in the head or neck, you might notice:

  • Headaches: A persistent headache could be a sign.
  • Nosebleeds, throat bleeding, or ear bleeding: Unusual bleeding from these areas could indicate a problem.
  • Eye problems: A bulging eye, swelling around the eye, or excessive tearing could be symptoms.

Urinary and Reproductive System: If the cancer is in the urinary or reproductive system, look out for:

  • Mass or bleeding: A lump or bleeding from the vagina or rectum.
  • Urinary issues: Difficulty urinating or blood in the urine.
  • Bowel problems: Difficulty with bowel movements could be a symptom.

Arms and Legs: Cancer in the arms or legs might show up as:

  • Pain: If the cancer presses on nerves or other tissues, you might experience pain in the affected area.
  • Swelling or lump: A noticeable swelling or a lump in the arm or leg could be a sign of the cancer.

This information is for general knowledge and does not constitute medical advice. If you or someone you know is experiencing any of these symptoms, it is crucial to see a doctor for proper diagnosis and treatment.

Causes

Rhabdomyosarcoma is a type of cancer, but we don't fully understand what causes it. It all starts with changes in the DNA of a soft tissue cell. Think of DNA as the instruction manual for a cell, telling it how to function.

In healthy cells, this manual tells them to grow and divide at a specific pace, and to die at a specific time. It's like a carefully planned schedule. But in cancer cells, the DNA instructions get messed up. These altered instructions tell the cells to make more cells very rapidly, much faster than normal. Crucially, the instructions also tell the cancer cells to ignore the normal signals that tell healthy cells to die. This leads to an uncontrolled growth of cells.

Sometimes, these extra cells clump together, forming a mass called a tumor. This tumor can grow large, pushing into and damaging healthy tissues around it. More worryingly, some cancer cells can break off from the tumor and travel to other parts of the body. This spread of cancer cells is called metastasis. Metastatic cancer is more challenging to treat because the cancer has spread throughout the body.

Risk factors

Rhabdomyosarcoma is a type of cancer that mainly affects children. Here are some things that might make a child more likely to develop this cancer:

  • Being young: Most cases of rhabdomyosarcoma are diagnosed in children under 10 years old. This means childhood is a time when this cancer can develop.

  • Genetic conditions: In some rare cases, rhabdomyosarcoma can be linked to inherited genetic conditions. These conditions are passed down from parents to their children. Examples of these conditions include neurofibromatosis type 1, Noonan syndrome, Li-Fraumeni syndrome, Beckwith-Wiedemann syndrome, and Costello syndrome. These conditions can increase a child's risk of getting certain cancers, including rhabdomyosarcoma.

Unfortunately, there's no way to prevent rhabdomyosarcoma.

Complications

Rhabdomyosarcoma, a type of cancer, can be challenging to treat, and there are several possible complications.

One major concern is the cancer's ability to spread. When rhabdomyosarcoma spreads, it moves from the original location to other parts of the body, like the lungs, lymph nodes, or bones. This spread often means more aggressive treatment is needed, which can make getting better more difficult.

Another important consideration is the potential for long-term side effects. Rhabdomyosarcoma itself and its treatments can cause various problems. These side effects can appear right away or develop later. Your healthcare team is there to help you manage any side effects that arise during treatment. They can also give you information about potential long-term side effects to look out for after treatment is completed. This proactive approach is crucial for your well-being.

Diagnosis

Doctors typically start diagnosing rhabdomyosarcoma with a physical exam. This helps them decide what further tests might be needed. These tests often include looking inside the body to see where and how big the cancer is.

To get a good picture of the inside of the body, doctors might use:

  • X-rays: These take pictures of bones and other dense structures.
  • CT scans (Computed Tomography): These use X-rays to create detailed cross-sectional images of the body.
  • MRI scans (Magnetic Resonance Imaging): These use magnets and radio waves to create detailed images of soft tissues, like muscles and organs.
  • PET scans (Positron Emission Tomography): These scans help pinpoint areas where the cancer might be active.
  • Bone scans: These scans can help show if the cancer has spread to the bones.

A biopsy is a crucial step in diagnosing rhabdomyosarcoma. This involves taking a small sample of tissue from the suspected cancer area and sending it to a lab for examination. An important consideration is that the biopsy needs to be done carefully so it doesn't interfere with any future surgery to treat the cancer. It's best to get this specialized procedure at a medical center with experienced doctors who frequently treat this type of cancer. They know the best way to get the tissue sample without harming the area for future operations.

There are different types of biopsies:

  • Needle biopsy: A needle is used to collect a small tissue sample.
  • Surgical biopsy: In some cases, a small surgery is needed to remove a larger tissue sample.

The lab analyzes the tissue sample under a microscope. Doctors called pathologists look at the cells under a microscope to see if they are cancerous. Further specialized tests may be done to learn more about the cancer cells, such as their specific type and how they might behave. This information helps the healthcare team create a personalized treatment plan.

Treatment

Treating Rhabdomyosarcoma: A Comprehensive Guide

Rhabdomyosarcoma, a type of cancer, is often treated with a combination of chemotherapy, surgery, and radiation therapy. The specific treatments chosen depend on several factors:

  • Location and size of the tumor: Where the cancer is located in the body and how big it is will influence the best approach.
  • Growth rate: How quickly the cancer cells are growing matters.
  • Spread: Whether the cancer has spread to other parts of the body.

Surgery: The goal of surgery is to remove all the cancer cells. However, if the cancer has grown close to or around important organs, complete removal may not be possible or safe. If not all the cancer can be removed surgically, doctors will use other treatments to target any remaining cancer cells.

Chemotherapy: This treatment uses powerful medicines to kill cancer cells. Different chemotherapy drugs are available. Doctors usually combine several drugs to enhance their effectiveness. These medicines are often given through a vein, but some can be taken as pills. Chemotherapy can be used before, during, or after surgery or radiation to help shrink the tumor, kill any remaining cancer cells, or improve the effectiveness of other treatments.

Radiation Therapy: Radiation therapy uses high-energy beams (like X-rays or protons) to target and destroy cancer cells. During treatment, you lie on a table while a machine directs the beams to the tumor. Radiation therapy can be used to kill remaining cancer cells after surgery or, sometimes, instead of surgery, particularly if the tumor is located near vital organs where surgery might be risky.

Clinical Trials: Clinical trials are research studies testing new treatments. These studies provide access to cutting-edge options, but the potential side effects may not be fully understood. Talk to your healthcare team about possible participation in a clinical trial.

Coping with a Cancer Diagnosis: A rhabdomyosarcoma diagnosis can be overwhelming. It's normal to experience a range of emotions. To cope, consider these strategies:

  • Learn about the cancer: Seek information from your healthcare provider about rhabdomyosarcoma, including different treatment options, to feel more empowered. If you have a child with cancer, ask your healthcare team for guidance on how to discuss the diagnosis with your child.
  • Maintain a support system: Surround yourself with friends and family. Their support can be invaluable, helping with daily tasks like shopping, cooking, and household chores.
  • Seek mental health support: Talking to a therapist, counselor, psychologist, or other mental health professional can provide valuable emotional support. If you have a child with cancer, ask your healthcare team for resources and support options. Also, organizations like the American Cancer Society offer support services and information online.

Remember, you are not alone in this journey. Your healthcare team is there to support you, and resources are available to help you cope with the emotional and practical challenges of cancer treatment.

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Disclaimer: August is a health information platform and its responses don't constitute medical advise. Always consult with a licenced medical professional near you before making any changes.

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