How do you treat pleomorphic rhabdomyosarcoma in an adult?

Rhabdomyosarcoma is a rare malignancy, with ~350 cases annually in the United States, but most commonly occurs in children. Thus, adult rhabdomyosarcoma is exceedingly rare. As a result, there are very limited data on adult rhabomyosarcoma to guide treatment decisions and much is extrapolated from t...