What is Rhabdomyosarcoma?

Rhabdomyosarcoma
Key imaging and pathology results from the Rhabdomyosarcoma and Diffuse large B-cell lymphoma. a Axial view of the left thigh rhabdomyosarcoma demonstrating the lesion was FDG-avid on PET scan. b Morphology of rhabdomyosarcoma showing spindle cells in intersecting fascicles. (H&E, 200x) c Immunohistochemical stain for Desmin showing diffuse positivity supporting the diagnosis of rhabdomyosarcoma. d Axial view of the mediastinal diffuse large B-cell lymphoma demonstrating FDG-avidity on PET scan. e Morphology of lymph node showing involvement by diffuse large B-cell lymphoma. (H&E, 200x) f Higher power image of the lymphoma showing large lymphoid cells in sheets. (H&E, 400x). A case report of concurrent embryonal rhabdomyosarcoma and diffuse large B-cell lymphoma in an adult without identifiable cancer predisposition Biomarker Research. Not Altered. CC

Rhabdomyosarcoma is a mesenchymal aggressive malignant tumor of skeletal muscle differentiation. There are different types of rhabdomyosarcomas which include alveolar, embryonal, and pleomorphic.

What is the Pathology of Rhabdomyosarcoma?

The pathology of rhabdomyosarcoma is:

-Etiology: The cause of rhabdomyosarcoma is disruption of skeletal muscle progenitor cell growth and related differentiation.

-Genes involved: None.

-Pathogenesis: The sequence of events that lead to rhabdomyosarcoma is unclear.

-Morphology: The morphology associated with rhabdomyosarcoma shows  small, round tumor cells with hyperchromatic nuclei and large, polygonal-shaped tumor cells with abundant eosinophilic cytoplasm, which often contains diagnostic cross striations.

-Histology: The histology associated with rhabdomyosarcoma shows sheets of small, round cells clustered with variable amounts of fibrous septa; may contain scattered giant cells (alveolar rhabdomyosarcoma.

How does Rhabdomyosarcoma Present?

Patients with rhabdomyosarcoma typically affect males present at the age range of 25 or less. The symptoms, features, and clinical findings associated with rhabdomyosarcoma include a persistent lump or swelling in the part of the body, bulging of the eye or a swollen eyelid, headache and nausea, trouble urinating or having bowel movements, blood in the urine, bleeding from the nose, throat, vagina, or rectum.

How is Rhabdomyosarcoma Diagnosed?

Rhabdomyosarcoma is diagnosed using ultrasound imaging. 

How is Rhabdomyosarcoma Treated?

Rhabdomyosarcoma is treated with wide excision without axillary dissection, adjuvant or neoadjuvant radiation.

What is the Prognosis of Rhabdomyosarcoma?

The prognosis of rhabdomyosarcoma is poor.