Coblation a new tool in management of nasopharyngeal rhabdomyosarcoma

Rhabdomyosarcoma is a highly malignant neoplasm that arises from embryonic mesenchyme ( Horn, 1958). It is the most common soft tissue tumor in children, with the head and neck region accounting for 35-40% of cases ( Healy, 2012). Rhabdomyosarcoma in the nasal cavity often begins as a polypoid growth and may easily be mistaken for nasal polyps. For this reason, it is important that polypoid growths in the nasal cavity occurring in childhood to be biopsied. Embryonal rhabdomyosarcoma of the nasopharynx is an uncommon tumor occurring almost exclusively in children. We present a case of nasopharyngeal rhabdomyosarcoma in 3 years old male child which was excised by coblation technique. The modality of treatment is surgical debulking followed by radiotherapy with or without chemotherapy. We are the first one to use coblation as a new tool for surgical excision of nasopharyngeal rhabdomyosarcoma in a 3 years old child.