Pathology: pleomorphic rhabdomyosarcoma

Rhabdomyosarcoma, pleomorphic

  • Sheets of polygonal-spindle cells of varying size

  • Abundant amphophilic cytoplasm

  • Round-ovoid nuclei with prominent nucleoli, marked pleomorphism and frequent multi-nucleation; conspicuous mitotic activity

  • Interspersed epithelioid-rhabdoid cells with abundant eosinophilic cytoplasm; eccentric nuclei

  • IHC: desmin, myogenin

  • FISH: MDM2 non-amplified