Sclerosing rhabdomyosarcoma presenting in the masseter muscle: a case report

<p>Abstract</p> <p>Sclerosing rhabdomyosarcoma (SRMS) is exceedingly rare, and may cause a great diagnostic confusion. Histologically, it is characterized by abundant extracellular hyalinized matrix mimicking primitive chondroid or osteoid tissue. So, it may be easily misdiagnosed...

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Main Authors: Lin Xu-Yong, Wang Yan, Yu Juan-Han, Liu Yang, Wang Liang, Li Qing-Chang, Wang En-Hua
Format: Article
Language:English
Published: BMC 2013-02-01
Series:Diagnostic Pathology
Subjects:
Online Access:http://www.diagnosticpathology.org/content/8/1/18
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author Lin Xu-Yong
Wang Yan
Yu Juan-Han
Liu Yang
Wang Liang
Li Qing-Chang
Wang En-Hua
author_facet Lin Xu-Yong
Wang Yan
Yu Juan-Han
Liu Yang
Wang Liang
Li Qing-Chang
Wang En-Hua
author_sort Lin Xu-Yong
collection DOAJ
description <p>Abstract</p> <p>Sclerosing rhabdomyosarcoma (SRMS) is exceedingly rare, and may cause a great diagnostic confusion. Histologically, it is characterized by abundant extracellular hyalinized matrix mimicking primitive chondroid or osteoid tissue. So, it may be easily misdiagnosed as chondrosarcoma, osteosarcoma, angiosarcoma and so on. Herein, we report a case of SRMS occurring in the masseter muscle in a 40-year-old male. The tumor showed a diverse histological pattern. The tumor cells were arranged into nests, cords, pseudovascular, adenoid, microalveoli and even single-file arrays. Immunostaining showed that the tumor was positive for the Vimentin, Desmin and MyoD1, and was negative for CK, P63, NSE, CD45, CD30, S-100, CD99, Myoglobin, CD68, CD34, CD31, and α–SMA. Based on the morphological finding and immunostaining, it was diagnosed as a SRMS. In addition, focally, our case also displayed a cribriform pattern resembling adenoid cystic carcinoma. This may represent a new histological feature which can broaden the histological spectrum of this tumor and also may lead to diagnostic confusion.</p> <p>Virtual slides</p> <p>The virtual slide(s) for this article can be found here: <url>http://www.diagnosticpathology.diagnomx.eu/vs/1615846455818924</url></p>
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spelling doaj.art-84689c5308284a6ab7fb4deb2d3d41292022-12-22T01:27:20ZengBMCDiagnostic Pathology1746-15962013-02-01811810.1186/1746-1596-8-18Sclerosing rhabdomyosarcoma presenting in the masseter muscle: a case reportLin Xu-YongWang YanYu Juan-HanLiu YangWang LiangLi Qing-ChangWang En-Hua<p>Abstract</p> <p>Sclerosing rhabdomyosarcoma (SRMS) is exceedingly rare, and may cause a great diagnostic confusion. Histologically, it is characterized by abundant extracellular hyalinized matrix mimicking primitive chondroid or osteoid tissue. So, it may be easily misdiagnosed as chondrosarcoma, osteosarcoma, angiosarcoma and so on. Herein, we report a case of SRMS occurring in the masseter muscle in a 40-year-old male. The tumor showed a diverse histological pattern. The tumor cells were arranged into nests, cords, pseudovascular, adenoid, microalveoli and even single-file arrays. Immunostaining showed that the tumor was positive for the Vimentin, Desmin and MyoD1, and was negative for CK, P63, NSE, CD45, CD30, S-100, CD99, Myoglobin, CD68, CD34, CD31, and α–SMA. Based on the morphological finding and immunostaining, it was diagnosed as a SRMS. In addition, focally, our case also displayed a cribriform pattern resembling adenoid cystic carcinoma. This may represent a new histological feature which can broaden the histological spectrum of this tumor and also may lead to diagnostic confusion.</p> <p>Virtual slides</p> <p>The virtual slide(s) for this article can be found here: <url>http://www.diagnosticpathology.diagnomx.eu/vs/1615846455818924</url></p>http://www.diagnosticpathology.org/content/8/1/18Sclerosing rhabdomyosarcomaRhabdomyosarcomaSarcoma
spellingShingle Lin Xu-Yong
Wang Yan
Yu Juan-Han
Liu Yang
Wang Liang
Li Qing-Chang
Wang En-Hua
Sclerosing rhabdomyosarcoma presenting in the masseter muscle: a case report
Diagnostic Pathology
Sclerosing rhabdomyosarcoma
Rhabdomyosarcoma
Sarcoma
title Sclerosing rhabdomyosarcoma presenting in the masseter muscle: a case report
title_full Sclerosing rhabdomyosarcoma presenting in the masseter muscle: a case report
title_fullStr Sclerosing rhabdomyosarcoma presenting in the masseter muscle: a case report
title_full_unstemmed Sclerosing rhabdomyosarcoma presenting in the masseter muscle: a case report
title_short Sclerosing rhabdomyosarcoma presenting in the masseter muscle: a case report
title_sort sclerosing rhabdomyosarcoma presenting in the masseter muscle a case report
topic Sclerosing rhabdomyosarcoma
Rhabdomyosarcoma
Sarcoma
url http://www.diagnosticpathology.org/content/8/1/18
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