Rhabdomyosarcoma is the most common type of muscle cancer in children. When this cancer spreads to other parts of the body (a process called metastasis), it becomes much harder to treat, and survival rates drop to as low as 20%. Therefore, understanding how this cancer spreads is crucial for developing better treatments. One type of this cancer, fusion-positive rhabdomyosarcoma (FPRMS), has a special abnormal gene that combines two genes, PAX3 and FOXO1. This type tends to spread more than the other type that doesn't have this fusion gene.