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Under normal conditions, most adult cells remain in a non-proliferative state unless stimulated by internal or external factors to replace lost cells. Abnormal cell proliferation is a condition in which the cell's growth exceeds and is uncoordinated with normal cells. In such situations, cell division persists in the same excessive manner even after cessation of the stimuli, leading to persistent tumors. The tumor arises from the damaged cells that replicate to pass the damage to the daughter...
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Updated: May 10, 2026

Tumorsphere Derivation and Treatment from Primary Tumor Cells Isolated from Mouse Rhabdomyosarcomas
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[Clinicopathologic features of pleomorphic rhabdomyosarcoma].

Lin Yu1, Jian Wang

  • 1Department of Pathology, Fudan University, Shanghai, China.

Zhonghua Bing Li Xue Za Zhi = Chinese Journal of Pathology
|June 18, 2013
PubMed
Summary

Pleomorphic rhabdomyosarcoma (PRMS) is a high-grade sarcoma often resembling undifferentiated pleomorphic sarcoma. Diagnosis relies on identifying pleomorphic rhabdomyoblasts and specific immunophenotypes, particularly desmin positivity.

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Area of Science:

  • Oncology
  • Pathology
  • Sarcoma Research

Context:

  • Pleomorphic rhabdomyosarcoma (PRMS) is a rare and aggressive soft tissue sarcoma.
  • Distinguishing PRMS from other pleomorphic sarcomas, such as undifferentiated pleomorphic sarcoma (UPS) and pleomorphic leiomyosarcoma, is diagnostically challenging.

Purpose:

  • To elucidate the clinicopathologic features, diagnostic criteria, and biological behavior of PRMS.
  • To aid in the differential diagnosis of PRMS by analyzing its histological and immunophenotypic characteristics.

Summary:

  • A review of 44 PRMS cases revealed a median age of 55 years, with tumors frequently occurring in the extremities and trunk.
  • Histologically, PRMS often mimics UPS/MFH but contains pleomorphic rhabdomyoblasts. Immunohistochemistry showed diffuse desmin positivity (100%) and variable expression of myogenin, MyoD1, and MSA, with negative α-SMA in most cases.
  • Follow-up data indicated a poor prognosis, with a median disease-free survival of 6.0 months and median overall survival of 8.0 months, and a high rate of disease progression.

Impact:

  • This study provides critical insights into the diagnosis and behavior of PRMS, emphasizing the importance of desmin staining for differentiation.
  • Findings underscore PRMS as a high-grade sarcoma with a poor prognosis, necessitating careful consideration in differential diagnoses, especially in adults.
  • The research contributes to a better understanding of PRMS, potentially guiding future therapeutic strategies and improving patient outcomes.