Clinical and computed tomography features of adult abdominopelvic desmoplastic small round cell tumor

To investigate the clinical and computed tomography (CT) features of desmoplastic small round cell tumor (DSRCT), we retrospectively analyzed the clinical presentations, treatment and outcome, as well as CT manifestations of four cases of DSRCT confirmed by surgery and pathology. The CT manifestations of DSRCT were as follows: (1) multiple soft-tissue masses or diffuse peritoneal thickening in the abdomen and pelvis, with the dominant mass usually located in the pelvic cavity; (2) masses without an apparent organ-based primary site; (3) mild to moderate homogeneous or heterogeneous enhancement in solid area on enhanced CT; and (4) secondary manifestations, such as ascites, hepatic metastases, lymphadenopathy, hydronephrosis and hydroureter. The prognosis and overall survival rates were generally poor. Commonly used treatment strategies including aggressive tumor resection, polychemotherapy, and radiotherapy, showed various therapeutic effects. CT of DSRCT shows characteristic features that are helpful in diagnosis. Early discovery and complete resection, coupled with postoperative adjuvant chemotherapy, are important for prognosis of DSRCT. Whole abdominopelvic rather than locoregional radiotherapy is more effective for unresectable DSRCT.

Medienart:

E-Artikel

Erscheinungsjahr:

2014

Erschienen:

2014

Enthalten in:

Zur Gesamtaufnahme - volume:20

Enthalten in:

World journal of gastroenterology - 20(2014), 17 vom: 07. Mai, Seite 5157-64

Sprache:

Englisch

Beteiligte Personen:

Shen, Xun-Ze [VerfasserIn]
Zhao, Jian-Guo [VerfasserIn]
Wu, Jian-Jun [VerfasserIn]
Liu, Fang [VerfasserIn]

Links:

Volltext

Themen:

Biomarkers, Tumor
Case Reports
Clinical features
Computed tomography
Desmoplastic small round cell tumor
Journal Article
Pathology
Peritoneum

Anmerkungen:

Date Completed 09.04.2015

Date Revised 21.10.2021

published: Print

Citation Status MEDLINE

doi:

10.3748/wjg.v20.i17.5157

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM23802332X