Table 1:
Clinicopathologic characteristics of tumors originally diagnosed as primary pleomorphic adult uterine rhabdomyosarcoma.
| Sample ID | Age at diagnosis (y) | FIGO stage | Clinical group | Tumor size (cm) | Histologic subtype | Myogenin | Desmin | Mitosis (#/10 HPF) | Necrosis | Presence epithelial differentiation | AE1/AE3 | Clinical Course |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| uRMS1 | 90 | IV | IV | 7.5 | pleomorphic | positive | positive | 17 | Yes | No | No | Surgery, DOD <6 months |
| uRMS2 | 74 | I | Ia | 5.5 | pleomorphic | positive | positive | 30 | Yes | No | No | Surgery, IVRT, length of follow-up <6 months |
| uRMS3 | 80 | IV | IV | 6.2 | pleomorphic# | positive | NP | 21 | Yes | Two minute foci# (0.4 mm each) | Yes# | Surgery, chemotherapy*, DOD <6 months |
Staging and clinical group according to Intergroup Rhabdomyosarcoma Study Group (IRSG).58, 59 DOD, dead of disease; HPF, high power field; IVRT, intravaginal radiation therapy; NP, not performed; y, years.
Following completion of molecular genetic analysis and extensive re-review of the pathology material, this case was favored to be a uterine carcinosarcoma with extensive rhabdomyosarcomatous overgrowth.
4 cycles of doxorubicin/cyclophosphamide.