Five children with pelvic embryonal rhabdomyosarcoma were seen at this hospital between October, 1965 and September, 1977.
The primary site of tumor was the bladder in 3 cases (2 boys and 1 girl) and the vagina in 2 cases. (Table 1). Three girls died postoperatively. First case died of local recurrence 4 months postoperatively. Second case died 4 and a half years postoperatively due to acute myelogenic leukemia and there was neither local recurrence nor distant metastases at autopsy. Third case died of local recurrence and pulmonary metastases 17 months postoperatively. Two boys are now free of tumor for 37 months and 4 months respectively after radical treatment.
Recently, aggressive coordinated treatment with surgery, radiotherapy and cyclic combination chemotherapy has been used in many medical facilities and survival rate has been increased. We hererin discussed briefly the usefulness of the aggressive coordinated treatment from literature.