Embryonal Rhabdomyosarcoma - A Mimicker of Squamosal Otitis Media

Document Type: Case Report


1 Department of Otorhinolaryngology, Kasturba Medical College, Manipal Academy of Higher Education Madhavnagar Manipal - 576104.

2 Department of Pathology, Kasturba Medical College, Manipal Academy of Higher Education Manipal.


Rhabdomyosarcoma is the most frequently occurring intrusive soft tissue sarcoma in the pediatric age group. Orbit is the most common location for a pediatric rhabdomyosarcoma, but it can occur in the oral cavity, pharynx, face and neck in the descending order of incidence. Rhabdomyosarcoma in the ear is extremely rare.
Case Report:
A 5-year-old girl presented to the outpatient department of our tertiary care hospital with complaints of foul smelling, non-blood stained right ear discharge of one-month duration and deviation of angle of mouth to the left side of acute onset. Investigations revealed a diagnosis of embryonal rhabdomyosarcoma. Multimodal therapy was carried out, and the child was rendered disease-free after two years.
Embryonal rhabdomyosarcoma of the head and neck mimics chronic otitis media. Early diagnosis is essential to deliver prompt treatment and prevent locoregional spread and metastasis.