“…The importance of delayed diagnosis leading to unfavorable outcomes in PRMS patients has been emphasized by many authors. 5,6 There are two major histological subtypes: embryonal and alveolar RMS; however, the reported cases of PRMS usually have alveolar histology with poor prognosis due to involvement of regional LNs at diagnosis. 7 In our case, the PRMS had an embryonal histology, which is uncommon.…”