Abstract
This case report presents a 12-year-old male with a rare manifestation of rhabdomyosarcoma (RMS), emphasizing diagnostic and therapeutic challenges. The patient exhibited firm, tender facial swelling and underwent diagnostic procedures including imaging and biopsy, confirming RMS. Treatment involved a multi-agent chemotherapy regimen and radiotherapy, leading to a significant tumor reduction. However, neurological deficits emerged one month after treatment, suggesting neural invasion. The case highlights the need for vigilant monitoring and a multimodal treatment approach in managing RMS. It also raises questions about neural invasion risks post-treatment, contributing valuable insights to existing literature and advocating for further research in this rare pediatric cancer.