PMID- 8116799 OWN - NLM STAT- MEDLINE DCOM- 19940325 LR - 20190821 IS - 0147-5185 (Print) IS - 0147-5185 (Linking) VI - 18 IP - 3 DP - 1994 Mar TI - Glycogen-rich clear cell rhabdomyosarcoma of the mediastinum. Potential diagnostic pitfall. PG - 302-8 AB - A 63-year-old black man of Caribbean origin, seropositive for human T-cell lymphoma virus type I (HTLV-I), presented with a 4-week history of progressive dyspnea, and was found to have a tumor of the anterior mediastinum. Incisional biopsy revealed a malignant neoplasm with a solid pattern of glycogen-rich clear cells. Diffuse expression of vimentin was observed, whereas only rare cells were immunoreactive for muscle-specific actin and desmin. Ultrastructure revealed a large amount of mono-particulate glycogen in most cells and features of rhabdomyogenic differentiation in occasional cells. The autopsy revealed a 23 x 14-cm (1,345 g), soft and white mediastinal neoplasm bulging in the right thorax with right pleural metastases. HTLV-1 proviral genome was not detected within tumor cells by polymerase chain reaction. This rhabdomyosarcoma is best classified as the solid subtype of the alveolar variant, with an unusually large amount of cytoplasmic glycogen. Clear cell rhabdomyosarcoma could be potentially confused with more commonly encountered clear cell tumors, particularly in the mediastinum. FAU - Begin, L R AU - Begin LR AD - Department of Pathology, Sir Mortimer B. Davis-Jewish General Hospital, Montreal, Quebec, Canada. FAU - Schurch, W AU - Schurch W FAU - Lacoste, J AU - Lacoste J FAU - Hiscott, J AU - Hiscott J FAU - Melnychuk, D A AU - Melnychuk DA LA - eng PT - Case Reports PT - Journal Article PL - United States TA - Am J Surg Pathol JT - The American journal of surgical pathology JID - 7707904 RN - 9005-79-2 (Glycogen) SB - IM MH - Cytoplasm/metabolism MH - Diagnosis, Differential MH - Glycogen/*metabolism MH - Humans MH - Immunohistochemistry MH - Male MH - Mediastinal Neoplasms/*diagnosis/metabolism/pathology MH - Middle Aged MH - Rhabdomyosarcoma/*diagnosis/metabolism/pathology EDAT- 1994/03/01 00:00 MHDA- 1994/03/01 00:01 CRDT- 1994/03/01 00:00 PHST- 1994/03/01 00:00 [pubmed] PHST- 1994/03/01 00:01 [medline] PHST- 1994/03/01 00:00 [entrez] AID - 10.1097/00000478-199403000-00011 [doi] PST - ppublish SO - Am J Surg Pathol. 1994 Mar;18(3):302-8. doi: 10.1097/00000478-199403000-00011.