case_images: PMC9021009_01
case_images: CT scan of the abdomen demonstrates the right renal mass.
case_images: JKCVHL-9-055-g001.jpg
case_images: PMC9021009_01_JKCVHL-9-055-g001.jpg
case_images: F1
case_images: However, the tumor was pressing the liver, and no defined fat planes were seen (Figure 1).
case_images: (A) H&E section from tumor show malignant spindle cells with hyperchromatic nuclei. (B) H&E section show some atypical spindle and round cells with abundant eosinophilic cytoplasm (Rhabdomyolysis differentiation).
case_images: JKCVHL-9-055-g002.jpg
case_images: PMC9021009_01_JKCVHL-9-055-g002.jpg
case_images: F2
case_images: There were different mitotic figures and necrotic areas (Figur 2).
case_images: Immunohistochemistry positive reaction for (A) Creatine kinase. (B) Desmin. (C) Myogenin.
case_images: JKCVHL-9-055-g003.jpg
case_images: PMC9021009_01_JKCVHL-9-055-g003.jpg
case_images: F3
case_images: These findings indicated that the tumor arose from the skeletal muscle, leading to the right kidney and the final diagnosis of pleomorphic RMS (Figure 3).
case_images: Postoperative abdominopelvic CT scan demonstrates local recurrence and liver metastasis (Arrow).
case_images: JKCVHL-9-055-g004.jpg
case_images: PMC9021009_01_JKCVHL-9-055-g004.jpg
case_images: F4
case_images: Two months after surgery, the patient received chemotherapy (Adriamycin, Ifosfamide, and Vincristine) and radiotherapy, but an abdominopelvic CT scan showed widespread liver metastasis and local recurrence (Figure 4).