%0 Journal Article %T Pathologic features of head and neck adult rhabdomyosarcoma: Case series. %A Ouazzani HE %A Kadiri H %A Habimana A %A Boulaadas M %A Zouaidia F %A Cherradi N %J Int J Surg Case Rep %V 121 %N 0 %D 2024 Aug 3 %M 38971031 暂无%R 10.1016/j.ijscr.2024.110001 %X BACKGROUND: Adult Head and neck Rhabdomyosarcomas (HNRMS) are exceedingly rare and remain challenging for pathologists.
METHODS: Five cases of adult HNRMS (≥19 years) were retrieved from the archives of the Department of Pathology of Hospital of Specialities in Rabat (HSR) in Morocco, over 5 years. Clinical and pathologic findings from hematoxylin and eosin slides and immunohistochemistry for Desmin and Myogenin were reviewed.
UNASSIGNED: The median age was 33, with a men's predominance (3 M/2F). Histological analysis revealed three cases of Alveolar Rhabdomyosarcoma (RMS), one Pleomorphic RMS, and one spindle cell/sclerosing RMS. In addition to the typical histology observed in each RMS, we found tricky growth patterns that could be a source of misdiagnosis. All five cases demonstrated variable positivity for Desmin and Myogenin.
CONCLUSIONS: HNRMS cases have different pathological features than pediatric RMS cases. We identified rare subtypes such as pleomorphic and spindle cell/sclerotic RMS, which exhibit unusual morphological patterns.