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1. RHABDOMYOSARCOMA Dr. Michelle Ghert
Osama Alshaya(PGY2)
2008/08/06
2. Outline
17. PLEOMORPHIC RMS involve biceps muscle: Only you can see soft tissue unclear mass
18. MRI T1 MRI show mild hyperintense with isointense soft tissue tumor involving left gluteus medius muscle
19. 51-year-old man with pleomorphic rhabdomyosarcoma of right thigh
25. Spindle cell subtype has small round blue cells and separated by myxoid like matrix, cross striation seen under special stain .
26. Poor Differentiated Embryonal RMSdifficult to distinguish from other small round blue cell tumors(Ewing, PNET)
27. Botryoid cell subtypedense rhabdomyoplast subepithelial layer
28. Alveolar subtype(classic type)small round cell floating in pseudo-alveolar space represent fibrovascular septae
29. Pleomorphic RMSspindle shape cells (wrist watches)