Hematoxylin and eosin (H&E) staining showing cellular population of large, rounded epithelioid, rhabdoid, plump spindled, and bizarre multinucleate tumour giant cells, as well as immunohistochemistry showing extensive staining of the atypical tumour cells for desmin and myogenic differentiation 1 gene (MyoD1) with multifocal coexpression of myogenin, are characteristic of RMS. Here, DES is linked to neoplasm.