Metachronous Primary Cerebral Rhabdomyosarcoma After Treatment of Oral Primitive Neuroectodermal Tumor/ Ewing’s Sarcoma in a School-Aged Girl

A Case Report


  • Danielle Anne Gonong Philippine Children's Medical Center, Quezon City
  • Manuelito Madrid Philippine Children's Medical Center, Quezon City



multiple primary malignancies, multiple primary sarcomas, metachronous malignancies, PNET/ Ewing’s sarcoma, rhabdomyosarcoma, immunohistochemistry, fluorescence in situ hybridization, reverse transcription-polymerase chain reaction


Multiple primary malignancies are defined as two or three malignant neoplasms arising in different organ systems. Several cases of multiple primary malignancies are emerging in recent years due to the advancement in medical therapy and diagnostics. Multiple primary malignancies are not uncommon occurring at 0.7-16% of cancer patients, however, reported cases of multiple primary sarcomas are sparse. Presented in this report is a pediatric patient diagnosed with primary metachronous cerebral
rhabdomyosarcoma after being treated for primitive neuroectodermal tumor/Ewing’s sarcoma of the oral cavity. Despite limited cases addressing multiple primary sarcomas, this entity must not be overlooked as it is associated with a meager outcome compared to an index case of sarcoma alone.


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How to Cite

Gonong, D. A., & Madrid, M. (2020). Metachronous Primary Cerebral Rhabdomyosarcoma After Treatment of Oral Primitive Neuroectodermal Tumor/ Ewing’s Sarcoma in a School-Aged Girl: A Case Report. PJP, 5(2), 53–59.

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