Rhabdomyomas Follow-up

  • Author: Karl J D'Silva; Chief Editor: Mary C Mancini, MD, PhD   more...
 
Updated: Aug 11, 2011
 

Further Inpatient Care

  • Patients with adult rhabdomyomas may experience breathing difficulties. These patients may need nasal oxygen. If airway obstruction is diagnosed, surgical intervention should be considered.
  • Patients with genital rhabdomyomas may require catheterization if they have symptoms of urinary tract obstruction.
  • Patients with advanced cardiac rhabdomyomas should be placed in a cardiac care unit.
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Further Outpatient Care

  • Patients who have had surgical resection of their rhabdomyomas should have routine postoperative care (eg, dressing changes and suture removal when indicated).
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Inpatient & Outpatient Medications

  • Acetaminophen and codeine or oxycodone and acetaminophen may be used to control postoperative pain. Oxycodone with acetaminophen (Percocet) can produce drug dependence of the morphine type. Accordingly, the potential for drug abuse exists.
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Deterrence/Prevention

  • No measures can be used to prevent the occurrence of rhabdomyoma.
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Complications

  • Any surgical procedure can be complicated by infection.
  • Patients with cardiac rhabdomyoma may develop congestive heart failure or arrhythmia.
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Prognosis

  • The prognosis for patients who have undergone surgery for the removal of rhabdomyomas varies from fair to good depending on the part of the body involved. Patients with cardiac rhabdomyomas have the highest risk.
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Patient Education

  • Patients with rhabdomyomas should be aware of the nature of their particular tumors and the type of surgical procedures available for treatment.
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Contributor Information and Disclosures
Author

Karl J D'Silva  MD, Assistant Clinical Professor of Medicine, Department of Hematology/Oncology, Lahey Clinic, Sophia Gordon Cancer Center

Karl J D'Silva is a member of the following medical societies: Massachusetts Medical Society

Disclosure: Nothing to disclose.

Coauthor(s)

Vijay R Karia, MD  Fellow, Department of Rheumatology, Louisiana State University

Vijay R Karia, MD is a member of the following medical societies: American College of Physicians

Disclosure: Nothing to disclose.

Richard V Worrell, MD  Vice Chairman Emeritus, Professor Emeritus, Department of Orthopedics, University of New Mexico School of Medicine

Richard V Worrell, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Orthopaedic Surgeons, American College of Surgeons, American Orthopaedic Association, American Society for Clinical Pathology, American Trauma Society, and Royal Society of Medicine

Disclosure: Nothing to disclose.

Madan L Arora, MD  Assistant Professor of Medicine, Michigan State University College of Human Medicine; Consulting Staff, Division of Hematology/Oncology, Great Lakes Cancer Institute, McLaren Regional Medical Center

Madan L Arora, MD is a member of the following medical societies: Michigan State Medical Society

Disclosure: Nothing to disclose.

Specialty Editor Board

Clarence Sarkodee-Adoo, MD  Consulting Staff, Department of Bone Marrow Transplantation, City of Hope Samaritan BMT Program

Disclosure: Takeda Millenium Honoraria Speaking and teaching

Francisco Talavera, PharmD, PhD  Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Medscape Salary Employment

Benjamin Movsas, MD  Vice-Chairman, Department of Radiation Oncology, Fox Chase Cancer Center

Benjamin Movsas, MD is a member of the following medical societies: American College of Radiology, American Radium Society, and American Society for Therapeutic Radiology and Oncology

Disclosure: Nothing to disclose.

J Stuart Wolf Jr, MD, FACS  The David A Bloom Professor of Urology, Director, Division of Endourology and Stone Disease, Department of Urology, University of Michigan Medical School

J Stuart Wolf Jr, MD, FACS is a member of the following medical societies: American College of Surgeons, American Urological Association, Catholic Medical Association, Endourological Society, Society for Urology and Engineering, Society of Laparoendoscopic Surgeons, Society of University Urologists, and Society of Urologic Oncology

Disclosure: Nothing to disclose.

Chief Editor

Mary C Mancini, MD, PhD  Professor and Chief of Cardiothoracic Surgery, Department of Surgery, Louisiana State University School of Medicine in Shreveport

Mary C Mancini, MD, PhD is a member of the following medical societies: American Association for Thoracic Surgery, American College of Surgeons, American Surgical Association, Phi Beta Kappa, Society of Thoracic Surgeons, and Southern Surgical Association

Disclosure: Nothing to disclose.

References

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Histopathology of adult rhabdomyoma. Microscopically, the adult rhabdomyoma contains deeply eosinophilic polygonal cells with peripherally placed nuclei. Cross-striations can be observed (X250).
Atrial rhabdomyoma as seen on cardiac CT scan in a patient with tuberous sclerosis.
Nonobstructive ventricular rhabdomyomas in a patient with tuberous sclerosis.
Contrast-enhanced cardiac-gated T1-weighted MRI shows an enhancing left ventricular mass. At autopsy, this mass was found to be a cardiac rhabdomyoma.
 
 
 
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