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Karen Wiss, MD; Alvin R. Solomon, MD; Sharon S. Raimer, MD; Thom E. Lobe, MD; William Gourley, MD; John T. Headington, MD

Arch Dermatol. 1988;124(11):1687-1690.

Abstract
• Two patients with rhabdomyosarcoma presented clinically with dermal nodules on the face. The first patient was a 12-month-old girl with a 2 x 3-cm-diameter red nodule on her left cheek that had begun as a small red papule when she was 3 months old and had progressively increased in size. The second patient was a 19-year-old girl who presented with an enlarging mass on her right cheek that had begun as a pea-sized nodule three months previously. In both cases, biopsies revealed a rhabdomyosarcoma in the underlying soft tissue with extension into the overlying dermis. Rhabdomyosarcoma presenting as a dermal nodule is rare. It usually presents as an asymptomatic papule without distinctive clinical features and therefore may result in delayed diagnosis unless a biopsy is performed.

(Arch Dermatol 1988;124:1687-1690)

Author Affiliations
From the Departments of Dermatology (Drs Wiss, Solomon, and Raimer), Pathology (Drs Solomon and Gourley), and Pediatrics (Drs Raimer and Lobe) and the Pediatric Surgical Service (Dr Lobe), University of Texas Medical Branch, Galveston, and the Departments of Dermatology and Pathology, University of Michigan Medical Center, Ann Arbor (Dr Headington). Dr Solomon is now with the Departments of Dermatology and Pathology, Emory University, Atlanta.

Footnotes
Accepted for publication May 2, 1988.

Presented in part at the Texas Dermatological Society Meeting, Houston, May 16, 1987, and at the Pacific Dermatological Society Meeting, Denver, Sept 18, 1987.

Reprint requests to Department of Pathology, University of Michigan Medical School, Medical Science I M5242/0602, 1301 Catherine Rd, Ann Arbor, MI 48109-0602 (Dr Headington).

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