Prostate
Other malignancies
Embryonal rhabdomyosarcoma


Topic Completed: 1 November 2016

Revised: 27 February 2019

Copyright: 2003-2019, PathologyOutlines.com, Inc.

PubMed search: prostatic embryonal rhabdomyosarcoma
Page views in 2018: 577
Page views in 2019 to date: 98
Cite this page: Iczkowski KA. Embryonal rhabdomyosarcoma. PathologyOutlines.com website. http://www.pathologyoutlines.com/topic/prostateembryonalrhab.html. Accessed March 21st, 2019.
Definition / general
Essential features
  • Small round cell to spindle cell tumor, variable cellularity
  • Occurs in young patients and requires aggressive treatment
Epidemiology
  • Most common prostatic malignancy in children / infants
Clinical features
  • Firm, smooth enlargement of prostate
  • Usually presents with stage 3 disease, sometimes with distant metastases
Prognostic factors
Treatment
  • Multiple agent chemotherapy, surgery and radiation
Microscopic (histologic) description
  • Cellularity is greatest around blood vessels, with intervening myxoid and edematous areas and necrosis
  • Tumor cells are primitive, round to spindled cells, with purely spindle cell variants being described (Int J Clin Exp Pathol 2014;7:5181)
  • May have bizarre forms with abundant eosinophilic cytoplasm, variable cross striations
  • Usually extraprostatic extension
  • MyoD1 and Myogenin are the most sensitive and specific immunologic markers.
Microscopic (histologic) images

Contributed by Kenneth Iczkowski, M.D.

H&E



Images hosted on other servers:

Myogenin+

Bladder tumors

Differential diagnosis
Back to top