Differential diagnosis

The FRM must be distinguished from embryonal rhabdomyosarcoma. The lack of significant infiltration of adjacent tissues; absence of cellular pleomorphism, mitoses, and necrosis; and the presence of muscle maturation at the periphery of the lesion are features indicative of a rhabdomyoma.

ARMs are usually easily recognized. Infrequently, it may be confused with a pleomorphic rhabdomyosarcoma, granular cell tumour, hibernoma, oncocy-toma, alveolar soft parts sarcoma, or crystal-storing histiocytosis {1268}.

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