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Intra-abdominal desmoplastic small round cell tumor in a 68-year-old female

  • O. Reich1,*,
  • J. Justus2
  • K. F. Tamussino1

1Department of Obstetrics and Gynecology, University of Graz, Austria

2Institute for Pathology, Dresden-Friedrichstadt, Germany

DOI: 10.12892/ejgo200002126 Vol.21,Issue 2,March 2000 pp.126-127

Published: 10 March 2000

*Corresponding Author(s): O. Reich E-mail:

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Abstract

Background: Desmoplastic small round cell tumor (DSRCT) of the peritoneum typically occurs in young adults. The mean age of females with DSRCT is 20 years. We describe a DSRCT with an unusual age of presentation mimicking a metastatic ovarian neoplasm.

Case: A 68-year-old para 4 female presented with abdominal enlargement. Laparatomy showed multiple tumor nodules attached to the peritoneal surface. The tumor was debulked. The histological findings were characteristic for DSRCT. Adjuvantly the patient received cytotoxic chemotherapy but died of recurrent disease 3 months after initial diagnosis.

Conclusion: DSRCT should be added to the differential diagnosis of unusual gynecologic malignancies in elderly as well as younger females. Identification of DSRCT is important because it can be confused with primary ovarian neoplasms.

Keywords

Peritoneal neoplasm; Desmoplastic small round cell tumor; Ovarian tumor

Cite and Share

O. Reich,J. Justus,K. F. Tamussino. Intra-abdominal desmoplastic small round cell tumor in a 68-year-old female. European Journal of Gynaecological Oncology. 2000. 21(2);126-127.

URL:

https://www.ejgo.net/articles/10.12892/ejgo200002126

References

[1] Ordonez N. G.: "Desmoplastic small round cell tumor I: a histopathologic study of 39 cases with emphasis on unusual histological pattems".Am. J. Surg. Pathol., 1998, 22, 1303.

[2] Hui Y. Z., Xue W. C., Dai L., Yu H., Guo Q. X.; Qian H. N.: "Uterine involvement by intra-abdominal desmoplastic small round cell tumor in a 63-year-old female". Int. J. Gynecol. Cancer, 1998, 8, 434.

[3] Mead M., Jones M. A., Decain M., Terraza H. M.: "Intraabdominal desmoplastic small round-cell tumor in a postmenopausal female. Report of a case and review of the literature". Eur. J. Gynecol. Oneal., 1994, 15, 267.

[4] Fukunaga M., Endo Y., Takaki K., Ishikawa E., Ushigome S.: "Postmenopausal intra-abdominal desmoplastic small cell tumor". Path. Int., 1996, 46, 281.

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