primary conjunctival rhabdomyosarcoma successfully treated with surgery and chemotherapy

purpose : to report the outcome of a case of primary conjunctival rhabdomyosarcoma treated by surgical excision combined with chemotherapy case report : a 4-year-old boy presented with a visible recurrence of conjunctival mass in the left eye. the orbital magnetic resonance imaging (mri) showed the lesion was confined to the conjunctiva without orbital infiltration. histology and immunophenotype were consistent with an embryonal rhabdomyosarcoma. a surgical excision was performed followed by intensive chemotherapy. the patient remains clinically tumor-free during 4 years of follow-up, with 20/20 vision in both eyes and no treatment complications. conclusion : the treatment by surgical excision combined with chemotherapy was justified in this case of primary rhabdomyosarcoma, which eliminated the potential complications of radiotherapy.      iranian journal of ophthalmology 201123(4):65-68 © 2011 by the iranian society of ophthalmology