Barw Medical Journal

Case Reports Barw Medical Journal. 2023

Desmoplastic Small Round Cell Tumor: A Case Report

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Rebaz Haji Ali

  • 1Hiwa Cancer Hospital Centre, Sulaimani Directorate of Health, Sulaimani, Kurdistan, Iraq

3 articles in this journal

Shano M. Ali

  • 1Hiwa Cancer Hospital Centre, Sulaimani Directorate of Health, Sulaimani, Kurdistan, Iraq

5 articles in this journal

Rawa M. Ali

  • 2Smart Health Tower, Madam Mittrand, Sulaimani, Kurdistan, Iraq

13 articles in this journal

Soran H. Tahir

  • 3College of Medicine, University of Sulaimani, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq

18 articles in this journal

Shad Nasir Mohammed

  • 3College of Medicine, University of Sulaimani, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq

Corresponding author

2 articles in this journal

Dana T. Gharib

  • 4Gastroenterology and Hepatology Teaching Hospital, Sulaimani, Kurdistan, Iraq

8 articles in this journal

Zana Baqi Najmadden

  • 5Research Center, University of Halabja, Halabja, Kurdistan, Iraq

2 articles in this journal

Hoshmand R. Asaad

  • 4Gastroenterology and Hepatology Teaching Hospital, Sulaimani, Kurdistan, Iraq

5 articles in this journal

Deari A. Ismaeil

  • 3College of Medicine, University of Sulaimani, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq

7 articles in this journal

Omar H. Ghalib Hawramy

  • 2Smart Health Tower, Madam Mittrand, Sulaimani, Kurdistan, Iraq

2 articles in this journal

  • 1Hiwa Cancer Hospital Centre, Sulaimani Directorate of Health, Sulaimani, Kurdistan, Iraq
  • 2Smart Health Tower, Madam Mittrand, Sulaimani, Kurdistan, Iraq
  • 3College of Medicine, University of Sulaimani, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq
  • 4Gastroenterology and Hepatology Teaching Hospital, Sulaimani, Kurdistan, Iraq
  • 5Research Center, University of Halabja, Halabja, Kurdistan, Iraq

Corresponding author: [email protected] (Shad Nasir Mohammed)

Submitted
10 Nov 2023
Accepted
7 Feb 2024
Published
28 Dec 2023
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1,201
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doi:10.58742/etbs9n84 Open access CC BY 4.0 licence (opens in a new tab)

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Abstract

IntroductionDesmoplastic small round cell tumor (DSRCT) is an ultra-rare and highly aggressive mesenchymal tumor that primarily affects the peritoneum, and to a lesser extent, the visceral organs in the abdominal cavity. This study presents a case of a patient who has been diagnosed with DSRCT and has been managed with VAC-IE chemotherapy.

Case presentationA 43-year-old male presented with a complaint of epigastric pain for 20 days but no other clinical symptoms. A CT scan and an abdominal ultrasound showed multiple lesions in the peritoneum, and biopsies were taken from all the sites. Histological analysis revealed nests of small blue round cells surrounded by an abundant stroma. Immunohistochemistry results confirmed the disease to be a desmoplastic small round cell tumor.

ConclusionThis disease is yet to be fully understood, and the response of our case to VAC-IE chemotherapy has shown promising outcomes. This form of treatment can be further studied to establish and help in finding a treatment with a better prognosis.

Keywords DSRCT VAC-IE chemotherapy Rare abdominal metastasis All subjects

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