Spindle cell rhabdomyosarcoma, a recently described variant of embryonal rh
abdomyosarcoma in children, carries a favorable prognosis when compared wit
h other types of rhabdomyosarcoma. This tumor is rare in adults, and only f
our cases have been documented previously. The clinicopathological study of
such a case occurring in the retroperitoneal space of a 53-year-old man is
herein reported. The patient died of uncontrolled local recurrence and hep
atic metastases seven months after diagnosis. Based on the analysis of the
data of the five cases reported, including the present one, it can be state
d that spindle cell rhabdomyosarcoma in adults is not associated with the f
avorable outcome observed in the pediatric population.