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A Physical Examination of a 5-Year-Old Girl Shows a Grape-Like

Question 17

Multiple Choice

A physical examination of a 5-year-old girl shows a grape-like polypoid mass protruding from the vagina. Histologic examination reveals that the mass has a myxoid stroma that contains small oval-shaped cells. Some of these cells have pink cytoplasm and resemble tennis rackets. These cells reacted positively upon immunohistochemical staining with the antibodies to desmin. Which of the following is the most likely diagnosis? A physical examination of a 5-year-old girl shows a grape-like polypoid mass protruding from the vagina. Histologic examination reveals that the mass has a myxoid stroma that contains small oval-shaped cells. Some of these cells have pink cytoplasm and resemble tennis rackets. These cells reacted positively upon immunohistochemical staining with the antibodies to desmin. Which of the following is the most likely diagnosis?   A)  Squamous cell carcinoma B)  Clear cell adenocarcinoma of the cervix C)  Leiomyosarcoma D)  Rhabdomyosarcoma E)  Malignant melanoma


A) Squamous cell carcinoma
B) Clear cell adenocarcinoma of the cervix
C) Leiomyosarcoma
D) Rhabdomyosarcoma
E) Malignant melanoma

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