Alveolar rhabdomyosarcoma
Alveolar rhabdomyosarcoma
Updated: 08/18/2021
© Jun Wang, MD, PhD
General features
- High grade tumor
- Rapid growth
- Early to mid-teens
- Classified as alveolar type if alveolar components present
- Poor prognosis, worse with N-myc or PAX3 abnormalities
Clinical presentations
- Painless mass
- Most common location: deep muscles
Key morphological features
- Alveolar growth pattern (nested)
- Small blue cells
- Multinucleated giant cells with deep eosinophilic cytoplasm
Markers
- Positive for myogenin, desmin, myoD1
Genetic abnormalities
- N-myc amplification
- PAX3-FKHR(PAX3-FOXO1)
- PAX7-FKHR(PAX7-FOXO1)
Treatment
- Combination of surgery, radiation and chemotherapy
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