Rhabdomyosarcoma physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shadan Mehraban, M.D.[2]

Overview

Physical examination findings depend on the tumor origin and the presence or absence of metastases. Physical examination of patients with rhabdomyosarcoma is usually remarkable for nontender, palpable mass, fever, and erythmatous skin might be present.

Physical Examination

• Physical examination findings depend on the tumor origin and the presence or absence of metastases.
• Physical examination of patients with rhabdomyosarcoma is usually remarkable for nontender, palpable mass.

Appearance of the Patient

• Patients with rhabdomyosarcoma usually have normal appearance.

Vital Signs

• Fever may be present.

Skin

• Skin examination of patients with rhabdomyosarcoma may be erythmatous.

HEENT

• HEENT examination of patients with rhabdomyosarcoma depends on tumor site.
• Abnormal physical examination findings are:
  • Proptosis
  • Ophtalmoplasia
  • Dysconjugate gaze
  • Presence of localized nontender enlarging mass

Neck

• Neck examination of patients with rhabdomyosarcoma may be presence of nontender enlarging mass.

Lungs

• Pulmonary examination of patients with metastatic rhabdomyosarcoma may be in favor of pleural effusion.

Heart

• Cardiovascular examination of patients with rhabdomyosarcoma is usually normal.

Abdomen

• Abdominal examination of patients with is usually normal.

Back

• Back examination of patients with rhabdomyosarcoma is usually normal.

Genitourinary

• Genitourinary examination of patients with rhabdomyosarcoma depends on tumor site.
  • Vaginal tumors may have polypoid mass protrusion and/ or mucosanguineous discharge.
  • Paratesticular tumors may have nontender scrotal or inguinal mass.

Neuromuscular

• Neuromuscular examination of patients with rhabdomyosarcoma is usually normal.

Extremities

• Extremities examination of patients with rhabdomyosarcoma may have tender or nontender mass.