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1) diagnostic
2) histology
3) dd
4)clinique (population)
5) IHC
6) moléculaire
1) alveolar rhabdomyosarcoma
2)
Fibrovascular cores
Nests of small blue round tumor cells looking dyscohesive at the edge because they are fragmented
Strap cells (elongated eosinophilic like immature muscle cells) sometimes seen
Multinucleated wreath cells (peripheral multimuclei, muscle differentiarion)
Rhabdomyoblasta
3)
SBRCT
Embryonal rms (less aggressive)
4) children and young adults
5)
Desmin+
MyoD + Myogenin+
6) t(1;13) or t(2;13) = PAX3-FOXO1 or PAX7-FOXO1
1) Diagnostic
2) clinique (population, zones)
3) histology
4) dd
1) botryoid embryonal rhabdomyosarcoma
2) jeunes enfants, urogenital
3)
Polypoid
Covered by a normal epithelium (urothelium, cervix etc…)
Loose Spindle cells, very hypocellular with hypercellular zones frequently close to the epithelium
Myxoid background
4) polype fibroepithelial
1)Diagnostic
2) histology
3) molecular
4) dd
1) alveolar soft part sarcoma
2)
fibrous septeae
Alveolar pattern
Eosinophilic cytoplasm
Pleomorphic nuclei, prominent nucleoli, rhabdoid/plasmacytoid aspect
3) t(X;17) = ASPRCR1-TFE3
4) metastatic renal cell carcinoma
Femme 59 ans, érythème et tumefaction de l'urètre distal
1) diagnostic
2) clinique
1) caroncule
2)