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Acta Cytologica Fine Needle Aspiration of Poorly Differentiated Rhabdomyosarcoma Presenting with Quadriparesis A Case Report Padam Kumari Agarwal, M.D., M.I.A.C., Amitabh Srivastava, M.B.B.S., Namita Mathur, M.B.B.S., M. C. Pant, M.D., and Sanjeev Agarwal, M.B.B.S. BACKGROUND: The diagnosis of metastatic poorly limited use in such cases. (Acta Cytol 1996;40:985–988) differentiated rhabdomyosarcoma (RMS) in lymph node specimens by fine needle aspiration presents a difficult Keywords: rhabdomyosarcoma, neoplasm metas- problem since it is virtually indistinguishable from other tasis, immunocytochemistry, aspiration biopsy. small round cell neoplasms. CASE: Fine needle aspiration was performed under radi- The diagnosis of metastatic poorly differentiated ologic guidance on an extradural, space-occupying lesion rhabdomyosarcoma (RMS) in lymph node speci- of unknown etiology in the mens by fine needle aspi- region of the C-6 and C-7 ration presents a difficult vertebrae in a 20-year-old problem since it is virtual- The diagnosis of RMS is greatly aided male who was hospitalized ly indistinguishable from by immunostaining for muscle markers. with quadriparesis. Cytolog- other small round cell ic examination suggested a neoplasms. We discuss metastatic tumor consistent below the findings of such with the diagnosis of rhabdomyosarcoma. A subsequent a case that presented with unusual clinical features search for the primary tumor
Acta Cytologica – Karger
Published: Jan 1, 2011
Keywords: rhabdomyosarcoma; neoplasm metastasis; immunocytochemistry; aspiration biopsy
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