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Article: Volume 49 Number 4 Page 297 - April 2022

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  Dental Update 499: 297-299

Oral and Maxillofacial Surgery:  A Case of Mistaken Identity: The Importance of Recognizing Red Flag Symptoms

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Abstract: Rhabdomyosarcoma is the most common paediatric soft tissue sarcoma. They comprise 40% of soft tissue sarcomas in children and adolescents. The overall 5-year survival rate in childhood is 71% with a worsening prognosis during infancy. The survival rate for children diagnosed at 10–14 years is 50%. The case of a 10-year-old female is presented to highlight the importance of awareness of atypical presentations of swellings. This report presents a case where a facial swelling was originally believed to be an odontogenic-related infection, but revealed to be a rhabdomyosarcoma.

Clinical relevance: The importance of a thorough history, examination and the recognition of salient features to ensure appropriate referral and adequate treatment without delay are highlighted.

Author notes: Amandeep Bains, BDS(Hons), MFDS RCPS(Glasg), Dental Core Trainee 2, University Hospital of South Manchester, Manchester Foundation Trust. Hiba Chaudhry, BSc (Hons), BDS, MFDS RCPS (Glasg), Dental Core Trainee 2, University Hospital of South Manchester, Manchester Foundation Trust. Anusha Hennedige, MBChB, BDS, MSc, FRCS(OMFS), Consultant Craniofacial and Maxillofacial Surgeon, Alder Hey Children’s Hospital NHS Foundation Trust. Mazhar Iqbal, OMFS Consultant, Craniofacial Department, Alder Hey Children’s Hospital.

Objective: To highlight the importance of a thorough history, examination and the recognition of salient features to ensure appropriate referral for red flag symptoms.

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