Patients with rhabdomyosarcoma may be classified based on the extent of disease at initial presentation and surgery.
Clinical Findings |
Group |
localized disease, completely resected, regional nodes not involved • confined to muscle or organ of origin • contiguous involvement with infiltration outside the muscle or organ of origin, as through fascial planes |
I |
grossly resected tumor with microscopic residual disease • no evidence of gross residual disease and no evidence of regional lymph node involvement regional disease, completely resected; regional lymph nodes involved, or extension of tumor into adjacent organ, or both; all tumor completely resected with no microscopic residual disease regional disease with involved lymph nodes, grossly resected, but with evidence of microscopic residual disease |
II |
incomplete resection with gross residual disease |
III |
distant metastatic disease present at onset (lung, liver, bones, bone marrow, brain, distant muscle, distant lymph nodes) |
IV |
Specialty: Hematology Oncology, Surgery, general, Surgery, orthopedic