The botryoid variant of embryonal RMS (sarcoma botryoides) takes its name from the "grape-like" gross appearance of the tumor. The botryoid variant typically arises within the wall of the bladder or vagina and is seen almost exclusively in infants.
Reproduced with permission from: Emans SJ. Vulvovaginal problems in the prepubertal child. In: Emans, Laufer, and Goldstein's Pediatric and Adolescent Gynecology, 6th ed, Emans SJ, Laufer MR (Eds), Lippincott Williams & Wilkins, Philadelphia 2011. Copyright © 2011 Lippincott Williams & Wilkins.
www.lww.com. This image was republished in Emans, Laufer, Goldstein's Pediatric and Adolescent Gynecology, 7th Ed (2019).