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Rhabdomyoma of the larynx recurring after 12 years: immunocytochemistry and differential diagnosis

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Summary

Rhabdomyoma is a rare tumor of skeletal muscle origin which can occur in different localizations. The head and neck region is a site of predilection for the adult type. Its absolutely benign behavior makes correct diagnosis crucial. In this study, a case of an extracardiac rhabdomyoma of the larynx was found to recur 12 years after initial treatment. Following its surgical removal, histology showed typical patterns of an adult type of rhabdomyoma with focal cross-striations. Immunocytochemically, all applied muscular markers were positive. Electron microscopy revealed muscular filaments with cross-striations and glycogen granules. These findings showed that immunocytochemistry plays an important role in differential diagnosis and the need for possible further treatment.

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References

  1. Andersen CB, Elling F (1986) Adult rhabdomyoma of the oropharynx recurring three times within thirty-five years. Acta Pathol Microbiol Immunol Scand [A] 94:281–284

    Google Scholar 

  2. Batsakis JG, Manning JT (1986) Soft tissue tumors: unusual forms. Otolaryngol Clin North Am 19:659–683

    Google Scholar 

  3. Bondeson L, Andreasson L (1986) Aspiration cytology of adult rhabdomyoma. Acta Cytol 30:679–682

    Google Scholar 

  4. Bozic C (1986) Fetal rhabdomyoma of the parotid gland in an infant: histological, immunohistochemical and ultrastructural features. Pediatr Pathol 6:139–144

    Google Scholar 

  5. Cerasoli PT, Pirodda A, Caliceti U (1985) Rabdomioma di tipo adulto della regione faringo-laringea: presentazione di un caso clinico e studio immunoistochimico. Acta Otorhinol Ital 5:175–183

    Google Scholar 

  6. Coindre JM, Mascarel A de, Trojani M, Mascarel I de, Pages A (1988) Immunohistochemical study of rhabdomyosarcoma. Unexpected staining with S 100 protein and cytokeratin. J Pathol 155:127–132

    Google Scholar 

  7. Corio RL, Lewis DM (1979) Intraoral rhabdomyomas. Oral Surg 48:525–531

    Google Scholar 

  8. Di Sant' Agnese PA, Knowles DM (1980) Extracardiac rhabdomyoma: a clinicopathologic study and review of the literature. Cancer 46:780–789

    Google Scholar 

  9. Eeckhaut J van den, Fievez C, Remacle M, Coffyn MB, Marbaix E (1983) Rhabdomyome adulte du larynx. A propos d' un cas. Ann Otolaryngol 100:151–153

    Google Scholar 

  10. Eigenbrodt ML, Cunningham LF (1986) Fine needle aspiration cytology of a rhabdomyoma of the pharynx. Acta Cytol 30:528–532

    Google Scholar 

  11. Enzinger FM, Weiss SW (1983) Soft tissue tumors, 2nd edn. Mosby, St. Louis, pp 433–447

    Google Scholar 

  12. Gale N, Rott T, Kambic V (1984) Nasopharyngeal rhabdomyoma. Report of case (light and electron microscopic studies) and review of the literature. Pathol Res Pract 178:454–460

    Google Scholar 

  13. Gardner DG, Corio RL (1983) Multifocal adult rhabdomyoma. Oral Surg 56:76–77

    Google Scholar 

  14. Gardner DG, Corio RL (1983) Fetal rhabdomyoma of the tongue, with a discussion of the two histologic variants of this tumor. Oral Surg 56:293–300

    Google Scholar 

  15. Granich MS, Pilch BZ, Nadol JB, Dickersin R (1983) Fetal rhabdomyoma of the larynx. Arch Otolaryngol 109:821–826

    Google Scholar 

  16. Heffner DK (1983) Problems in pediatric otorhinolaryngic pathology. I. Sinonasal and nasopharyngeal tumors and masses with myxoid features. Int J Pediatr Otorhinolaryngol 5:77–91

    Google Scholar 

  17. Kleinsasser O (1987) Tumoren des Larynx und des Hypopharynx. Thieme, Stuttgart, pp 339–349

    Google Scholar 

  18. Konrad EA, Hübner G (1983) Rhabdomyoma of the eyebrow region: a light- and electron microscopic study of a recurrent rhabdomyoma of fetal type. Graefes Arch Clin Exp Ophthalmol 220:187–192

    Google Scholar 

  19. Konrad EA, Meister P, Hübner G (1982) Extracardiac rhabdomyoma. Report of different types with light microscopic and ultrastructural studies. Cancer 49:898–907

    Google Scholar 

  20. Lattes R (1982) Tumors of the soft tissues. Atlas of tumor pathology, 2nd series. Armed Forces Institute of Pathology, Washinton, pp 66–69

    Google Scholar 

  21. Leader M, Patel J, Collins M, Henry K (1987) Anti-alpha-1-antichymotrypsin staining of 194 sarcomas, 38 carcinomas, and 17 malignant melanomas. Its lack of specificity as a tumour marker. Am J Surg Pathol 11:133–139

    Google Scholar 

  22. Lehtonen E, Asikainen U, Badley RA (1982) Rhabdomyoma. Ultrastructural features and distribution of desmin, muscle type of intermediate filament protein. Acta Pathol Microbiol Immunol Scand [A] 90:125–129

    Google Scholar 

  23. Meuten DJ, Calderwood Mays MB, Dillman RC, Cooper BJ, Valentine BA, Kuhajda FP, Pass DA (1985) Canine laryngeal rhabdomyoma. Vet Pathol 22:533–539

    Google Scholar 

  24. Modlin B (1982) Rhabdomyoma of the larynx. Laryngoscope 92:580–582

    Google Scholar 

  25. Nolte E, Kleinsasser O (1982) Granularzelltumoren des Kehlkopfs. HNO 30:333–339

    Google Scholar 

  26. Painter MJ, Pang D, Ahdab-Barmada M, Bergman I (1984) Connatal brain tumors in patients with tuberous sclerosis. Neurosurgery 14:570–573

    Google Scholar 

  27. Pradhan SA, Rajpal RM, Shrikhande SS (1986) Extracardiac rhabdomyoma: a report of two cases. J Surg Oncol 33:69–71

    Google Scholar 

  28. Reid CO, Smith CJ (1985) Rhabdomyoma of the floor of the mouth: a new case and review of recently reported intraoral rhabdomyomas. Br J Oral Maxillofac Surg 23:284–291

    Google Scholar 

  29. Rosenman D, Gertner R, Fradis M, Podoshin L, Misslevitsch A, Boss JH (1986) Rhabdomyoma of the larynx. J Laryngol Otol 100:607–610

    Google Scholar 

  30. Schlosnagle MDC, Kratochvil FJ, Weathers DR, McConnel FMS, Campbell WG (1983) Intraoral multifocal adult rhabdomyoma. Arch Pathol Lab Med 107:638–642

    Google Scholar 

  31. Scrivner D, Meyer JS (1980) Multifocal recurrent adult rhabdomyoma. Cancer 46:790–795

    Google Scholar 

  32. Silseth C, Veress B, Bergström B (1982) A case of adult rhabdomyoma in the tonsillar region. A light and electron microscope study. Acta Pathol Microbiol Immunol Scand [A] 90:1–4

    Google Scholar 

  33. Simha M, Doctor V, Dalal S, Manghani DK, Dastur DK (1982) Postauricular fetal rhabdomyoma: light and electron microscopic study. Hum Pathol 13:673–677

    Google Scholar 

  34. Stewart CM, Watson RE, Eversole LR, Fischlschweiger W, Leider AS (1988) Oral granular cell tumors: a clinicopathologic and immunocytochemical study. Oral Surg 65:427–435

    Google Scholar 

  35. Warner TFCS, Goell W, Sundharadas M, Falk VS (1981) Adult rhabdomyoma. Arch Pathol Lab Med 105:608–611

    Google Scholar 

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Hamper, K., Renninghoff, J. & Schäfer, H. Rhabdomyoma of the larynx recurring after 12 years: immunocytochemistry and differential diagnosis. Arch Otorhinolaryngol 246, 222–226 (1989). https://doi.org/10.1007/BF00453667

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  • DOI: https://doi.org/10.1007/BF00453667

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