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Acute Hearing Loss, Dysarthria, Dysphagia, and a Rubbery Intraoral Mass in an 18-Year-Old Woman

Aitken, Leslie BA; Levin, David DO*; Blau, Alexander MD; Lewin, Matthew R. MD, PhD

doi: 10.1097/PEC.0b013e3181b0a482
Illustrative Cases

Rhabdomyosarcoma is the most common soft tissue tumor of childhood, frequently presenting in the head and neck, genitourinary tract, or extremities. We present a case of rhabdomyosarcoma in which an 18-year-old woman presented with abrupt onset unilateral hearing loss, tinnitus, dysarthria, dysphagia, and a new painless red bump on the palate. With an alveolar subtype and older age, both predictors of poor prognosis, early recognition of disease of these symptoms is vital.

From *The Arizona College of Osteopathic Medicine of Midwestern University, Glendale, AZ; and †The School of Medicine, University of California, San Francisco, CA.

Reprints: Matthew R. Lewin, MD, PhD, Department of Emergency Medicine, University of California, San Francisco, Box 0208, 505 Parnassus Ave, San Francisco, CA 94143 (e-mail:

© 2009 Lippincott Williams & Wilkins, Inc.