Cytologic Features of Inflammatory Rhabdomyoblastic Tumor Using Conventional and Liquid-Based Cytology Preparations: A Case Report.

Diagn CytopatholAug 25, 2026 (epub)

Yohei Yamaguchi, Toru Odate, Keito Ogino et al.

✦ AI-curated · Sources linked

Case in brief

A man in his 60s with pharyngeal discomfort was diagnosed with tonsillar diffuse large B-cell lymphoma. Staging PET-CT also showed focal uptake in the left tibialis anterior muscle, initially raising concern for lymphoma involvement. Ultrasound-guided biopsy suggested inflammatory rhabdomyoblastic tumor (IRMT), confirmed after resection. Cytology showed atypical cells with enlarged, variably shaped nuclei and abundant cytoplasm amid reactive lymphocytes and histiocytes; the atypical cells expressed desmin and MyoD1. After resection, he received R-CHOP for lymphoma. At follow-up less than 6 months after resection, there was no evidence of IRMT recurrence or metastasis.

What made this case unusual

The report details IRMT cytology across imprint, crush, and liquid-based preparations, showing a biphasic pattern of atypical rhabdomyoblastic cells in a lymphocyte- and histiocyte-rich background. Cross-striations were absent, making immunocytochemical confirmation of rhabdomyoblastic differentiation useful.

Diagnostic / clinical pearl

In a lymphocyte- and histiocyte-rich specimen, atypical cells with rhabdomyoblastic features should prompt consideration of IRMT; desmin and MyoD1 positivity can support that differentiation.

Source

Published in Diagn Cytopathol. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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AI-generated summaries may contain errors or omissions. Verify clinically important information with the original publication.

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