Saudi Journal of Pathology and Microbiology (SJPM)
Volume-3 | Issue-11 | 452-456
Case Report
Sclerosing Rhabdomyosarcoma: Case Report and Review of Literature
Mohamed Amine Essaoudi, Mustapha Azzakhmam, Mohamed Allaoui, Mohamed Reda EL Ochi, Abderrahim EL Ktaibi, Mohamed Oukabli, Abderrahmane Al Bouzidi
Published : Nov. 30, 2018
Abstract
Sclerosing rhabdomyosarcoma (SRMS) is a very rare subtype of
rhabdomyosarcoma (RMS) and can lead to diagnostic difficulties especially if one is
not advised of this variant. This entity was first described in 2000 by Mentzel and
Katenkamp.Morphologically, it is characterized by an abundant hyalinized stroma that
may erroneously lead to the diagnosis of extraskeletal chondrosarcoma, sometimes this
stroma simulates a primary osteoid or vascular tumor. Thus, it can lead to confusion
with osteosarcoma or angiosarcoma. We report here a case of SRMS mimicking a
sclerosing epithelioid fibrosarcoma appearing in calves in a 55-year-old man. The
tumor cells were arranged in nests, cords with sometimes a pseudovascular features.
Immunostaining showed that the tumor was positive for Desmin, SMA and MyoD1,
focally positive for myogenin and negative for CK, P63, EMA, S-100, H-caldesmon,
CD34, CD31. Based on morphological discovery and immunostaining, he was
diagnosed as an SRMS. This is the first case of SRMS to show a strong and diffuse α-
SMA highlighting the risk of misdiagnosis as leiomyosarcoma.