This case report presents the light microscopy, immunochemistry, and u
ltrastructure of the first unequivocal extrarenal rhabdoid tumor occur
ring in lung. Smears and cell blocks prepared from a fine-needle aspir
ation biopsy show the cytopathological features of this unusual neopla
sm, in this case presenting in a 74-year-old male. Electron microscopy
of the surgically resected circumscribed pulmonary mass assisted in e
stablishing the diagnosis by demonstrating the considerable accumulati
on of cytoplasmic intermediate filaments that characterize cells in ex
trarenal rhabdoid tumor and account for the hyaline ''inclusion'' in t
his particular lesion.