Cytomorphology and immunohistochemistry of extrarenal rhabdoid tumor: A case report with review of literature

Extrarenal rhabdoid tumor (ERRT) is a rare, aggressive tumor with extremely poor prognosis. We report a case of ERRT with intraspinal extension in a 1.5-year-old child diagnosed by fine needle aspiration cytology (FNAC) and immunohistochemistry. The child presented with a right lumbar region lump of...

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Main Authors: Manjula Jain, Aparna Harbhajanka, S Roy Choudhary
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2011-01-01
Series:Indian Journal of Pathology and Microbiology
Subjects:
Online Access:http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2011;volume=54;issue=4;spage=819;epage=821;aulast=Jain
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author Manjula Jain
Aparna Harbhajanka
S Roy Choudhary
author_facet Manjula Jain
Aparna Harbhajanka
S Roy Choudhary
author_sort Manjula Jain
collection DOAJ
description Extrarenal rhabdoid tumor (ERRT) is a rare, aggressive tumor with extremely poor prognosis. We report a case of ERRT with intraspinal extension in a 1.5-year-old child diagnosed by fine needle aspiration cytology (FNAC) and immunohistochemistry. The child presented with a right lumbar region lump of two months duration. Ultrasound guided FNAC was performed and cell block was prepared. Smears were highly cellular and showed a dispersed population of large round cells having abundant pale eosinophillic cytoplasm, centrally to eccentrically placed nucleus with large prominent nucleoli. Immunohistochemistry was carried out on cell block which was positive for epithelial membrane antigen EMA and Vimentin. It was negative for leucocyte common antigen [LCA], wilms tumor 1, WT1, desmin and neuron specific enolaseNSE, thus ruling out other tumors like lymphoma, Wilms tumor, rhabdomyosarcoma, and neuroblastoma. A final diagnosis of ERRT was given. ERRT is an extremely rare tumor of retroperitoneal area; it should be included in the differential diagnosis of malignant round cell tumor in children. Cell block in this case is mandatory for putting up the panel of immunohistochemistry which can clinch the diagnosis of rhabdoid tumor and treatment can be started as early as possible.
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spelling doaj.art-3840968a2ad9437089353c6ee39c52f82022-12-22T02:30:41ZengWolters Kluwer Medknow PublicationsIndian Journal of Pathology and Microbiology0377-49292011-01-0154481982110.4103/0377-4929.91534Cytomorphology and immunohistochemistry of extrarenal rhabdoid tumor: A case report with review of literatureManjula JainAparna HarbhajankaS Roy ChoudharyExtrarenal rhabdoid tumor (ERRT) is a rare, aggressive tumor with extremely poor prognosis. We report a case of ERRT with intraspinal extension in a 1.5-year-old child diagnosed by fine needle aspiration cytology (FNAC) and immunohistochemistry. The child presented with a right lumbar region lump of two months duration. Ultrasound guided FNAC was performed and cell block was prepared. Smears were highly cellular and showed a dispersed population of large round cells having abundant pale eosinophillic cytoplasm, centrally to eccentrically placed nucleus with large prominent nucleoli. Immunohistochemistry was carried out on cell block which was positive for epithelial membrane antigen EMA and Vimentin. It was negative for leucocyte common antigen [LCA], wilms tumor 1, WT1, desmin and neuron specific enolaseNSE, thus ruling out other tumors like lymphoma, Wilms tumor, rhabdomyosarcoma, and neuroblastoma. A final diagnosis of ERRT was given. ERRT is an extremely rare tumor of retroperitoneal area; it should be included in the differential diagnosis of malignant round cell tumor in children. Cell block in this case is mandatory for putting up the panel of immunohistochemistry which can clinch the diagnosis of rhabdoid tumor and treatment can be started as early as possible.http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2011;volume=54;issue=4;spage=819;epage=821;aulast=JainExtrarenalimmunohistochemistryneedle biopsyrhabdoidtumor
spellingShingle Manjula Jain
Aparna Harbhajanka
S Roy Choudhary
Cytomorphology and immunohistochemistry of extrarenal rhabdoid tumor: A case report with review of literature
Indian Journal of Pathology and Microbiology
Extrarenal
immunohistochemistry
needle biopsy
rhabdoid
tumor
title Cytomorphology and immunohistochemistry of extrarenal rhabdoid tumor: A case report with review of literature
title_full Cytomorphology and immunohistochemistry of extrarenal rhabdoid tumor: A case report with review of literature
title_fullStr Cytomorphology and immunohistochemistry of extrarenal rhabdoid tumor: A case report with review of literature
title_full_unstemmed Cytomorphology and immunohistochemistry of extrarenal rhabdoid tumor: A case report with review of literature
title_short Cytomorphology and immunohistochemistry of extrarenal rhabdoid tumor: A case report with review of literature
title_sort cytomorphology and immunohistochemistry of extrarenal rhabdoid tumor a case report with review of literature
topic Extrarenal
immunohistochemistry
needle biopsy
rhabdoid
tumor
url http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2011;volume=54;issue=4;spage=819;epage=821;aulast=Jain
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AT aparnaharbhajanka cytomorphologyandimmunohistochemistryofextrarenalrhabdoidtumoracasereportwithreviewofliterature
AT sroychoudhary cytomorphologyandimmunohistochemistryofextrarenalrhabdoidtumoracasereportwithreviewofliterature