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Rhabdomyosarcoma Grouping System

Group I

Localized disease, completely resected

a. Confined to muscle or organ of origin

b. Infiltration outside the muscle or organ of origin

Group II

Gross total resection with

a. Microscopic residual disease

b. Regional lymphatic spread, resected

c. Both

Group III

Incomplete resection with gross residual disease

a. After biopsy only

b. After major resection (more than 50%)

Group IV Distant metastatic disease present at onset