A 66-year-old woman developed a malignant rhabdoid tumor of the breast
, with a tumor doubling time of 10 days. One month after radical maste
ctomy, there was local recurrence, followed by multiple pulmonary meta
stases, and the patient died of respiratory failure 5 months after sur
gery. The gray-white-colored tumor measured 13x12x10 cm, and its borde
r was well defined. The tumor was composed of diffusely growing round
or polygonal cells with vesicular nuclei, prominent nucleoli, and ampl
e cytoplasm containing eosinophilic inclusions. Lymph node involvement
was widespread. Both vimentin and keratin were clearly demonstrated b
y immunohistochemical staining. Ultrastructural studies revealed that
the MRT cells contained cytoplasmic whorls of intermediate filaments.