[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-374499-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-374499-en":130},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","emergency-radiation-therapy-for-hemorrhage-in-botryoides-sarcoma-a-pediatric-case-report","Emergency Radiation Therapy for Hemorrhage in Botryoides Sarcoma - A Pediatric Case Report","","Emergency external radiation therapy is described for a rare, life-threatening hemorrhagic complication of botryoid rhabdomyosarcoma in a 15-year-old patient. The case involves repeated profuse vaginal bleeding and a protruding vaginal mass for two months, with MRI confirming a malignant mass infiltrating the cervix and extending toward the uterus. Due to high surgical risk and limited operative options, emergency radiation was initiated, leading to a marked reduction in bleeding after one session. The report underscores the need for further research to define optimal management strategies.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/emergency-radiation-therapy-for-hemorrhage-in-botryoides-sarcoma-a-pediatric-case-report/374499/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/emergency-radiation-therapy-for-hemorrhage-in-botryoides-sarcoma-a-pediatric-case-report/374499.png","ImageObject",300,407,{"name":42,"@type":43},"Riley West","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-29","2026-09-23",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",9,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What condition caused the patient’s hemorrhage in this case?","Question",{"text":63,"@type":64},"The patient’s final diagnosis was botryoid sarcoma (botryoid rhabdomyosarcoma), confirmed by histopathology with MRI findings of a malignant vaginal mass.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"Why was emergency external radiation therapy chosen over surgery?",{"text":68,"@type":64},"The report states that due to the emergency situation and the risks associated with surgical intervention, emergency external radiation therapy was initiated when surgical options were limited.",{"name":70,"@type":61,"acceptedAnswer":71},"What was the outcome after radiation treatment?",{"text":72,"@type":64},"After one session of emergency external radiation therapy, the bleeding was significantly reduced and the patient was stabilized during acute hemorrhage.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},374499,1790480407,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,110,115,119,122,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":107,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":108,"slug":109},7,40,"healthcare",{"id":111,"doc_module":4,"doc_module_name":25,"category_name":112,"show_sort_weight":113,"slug":114},8,"Research & Report",30,"research-report",{"id":55,"doc_module":4,"doc_module_name":25,"category_name":116,"show_sort_weight":117,"slug":118},"Religion & Spirituality",20,"religion-spirituality",{"id":117,"doc_module":4,"doc_module_name":25,"category_name":120,"show_sort_weight":117,"slug":121},"World Cup","world-cup",{"id":123,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":123,"slug":125},10,"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":97,"slug":129},19,"General","general",{"code":4,"msg":82,"data":131},{"doc_id":79,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":107,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":97,"language":139,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":12,"update_tm":143,"read_time":144},1099523885074,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","e-ISSN 1941-5923  \n© Am J Case Rep, 2025; 26: e946434 DOI: 10. 12659/AJCR.946434  \nReceived: 2024.09.04  \nAccepted: 2025.03.12  \nAvailable online: 2025.04.24  \nPublished: 2025.06.05  \nAuthors’ Contribution: Study Design A  \nData Collection B Statistical Analysis C Data Interpretation D Manuscript Preparation E Literature Search F Funds Collection G  \nABCDEFG AF  \nAF  \nBE  \nCorresponding Author: Financial support: Conflict of interest:  \nEmergency Radiation Therapy for Hemorrhage in Botryoides Sarcoma: A Pediatric Case Report  \nSetyo Teguh Waluyo  Hariadi Yuseran  Ferry Armanza   \nFendy Frans Elya Cohen Manalu   \nSetyo Teguh Waluyo, e-mail: [setyoteguhw@gmail.com](setyoteguhw@gmail.com)  \nNone declared  \nNone declared  \nDepartment of Obstetrics and Gynecology, Faculty of Medicine Universitas  \nLambung Mangkurat, Ulin General Hospital, Banjarmasin, South Borneo, Indonesia  \nPatient: Female, 15-year-old  \nFinal Diagnosis: Botryoides sarcoma  \nSymptoms: Protruding mass • vaginal bleeding  \nClinical Procedure: —  \nSpecialty: Obstetrics and Gynecology  \nObjective: Rare disease  \nBackground: Botryoid rhabdomyosarcoma is a subtype of embryonal rhabdomyosarcoma and is a rare and highly vascular malignant childhood tumor, with the most common sites of origin being the vagina and cervix in young girls. This report describes the case of a 15-year-old girl presenting with vaginal hemorrhage due to botryoid rhabdomyosarcoma treated with emergency radiation therapy. Hemorrhage in botryoid rhabdomyosarcoma can present as a life-threatening emergency requiring immediate intervention. This case highlights the role of emergency external radiation therapy as a valuable adjunct in managing hemorrhage in botryoid rhabdomyosarcoma, especially when surgical options are limited.  \nCase Report: We report a case of a 15-year-old girl who experienced repeated profuse episodes of vaginal bleeding and protruding mass in the vagina for 2 months. She had no significant medical history or family history of cancer. Magnetic resonance imaging (MRI) confirmed a massive malignant mass in the vaginal introitus that infiltrated the cervix, extending to the uterus. Based on the histopathology result, the diagnosis was botryoid rhabdomyosarcoma with a primary site located on the cervix, and due to the emergency situation and the risks associated with surgical intervention, emergency external radiation therapy was initiated. After 1 session of radiation therapy, the bleeding was significantly reduced.  \nConclusions: Hemorrhage in botryoid rhabdomyosarcoma is a rare but critical complication. Emergency external radiation therapy helps stabilize the patient with acute bleeding caused by botryoid rhabdomyosarcoma. Further research is needed to find the optimal treatment strategies.  \nKeywords: Emergency Treatment • Hemorrhage • Radiation • Rhabdomyosarcoma, Embryonal  \nFull-text PDF: [https://www.amjcaserep.com/abstract/index/idArt/946434](https://www.amjcaserep.com/abstract/index/idArt/946434)  \n1661  —  3  19  \nPublisher’s note: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher  \nThis work is licensed under Creative Common AttributionNonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0)  \ne946434-1  \nIndexed in: [PMC] [PubMed] [Emerging Sources Citation Index (ESCI)][Web of Science by Clarivate]  \nWaluyo [S.T. et](S.T. et) al:  \nEmergency radiation therapy for botryoid rhabdomyosarcoma © Am J Case Rep, 2025; 26: e946434  \nIntroduction  \nBotryoid rhabdomyosarcoma is derived from the Greek term“botryoid”, which means “a cluster of grapes-like”, describing its clinical manifestation and radiological findings. It is also known as embryonal rhabdomyosarcoma, a specific type","cbCaieOKysZidoeI","https://ap.wps.com/l/cbCaieOKysZidoeI","pdf",1489395,"English","# Introduction\n# Case Report\n## Clinical presentation and diagnosis\n## Emergency radiation therapy and response\n# Conclusions","[{\"question\":\"What condition caused the patient’s hemorrhage in this case?\",\"answer\":\"The patient’s final diagnosis was botryoid sarcoma (botryoid rhabdomyosarcoma), confirmed by histopathology with MRI findings of a malignant vaginal mass.\"},{\"question\":\"Why was emergency external radiation therapy chosen over surgery?\",\"answer\":\"The report states that due to the emergency situation and the risks associated with surgical intervention, emergency external radiation therapy was initiated when surgical options were limited.\"},{\"question\":\"What was the outcome after radiation treatment?\",\"answer\":\"After one session of emergency external radiation therapy, the bleeding was significantly reduced and the patient was stabilized during acute hemorrhage.\"}]","Emergency Radiation Therapy for Hemorrhage in Botryoides Sarcoma - A Pediatric Case Report | PDF",1790201787,13]