Desmoplastic small round cell tumor - metastatic

Case contributed by Michael P Hartung
Diagnosis almost certain

Presentation

Abdominal pain and distension.

Patient Data

Age: 35 years
Gender: Male

Medium left effusion. Midly enlarged cardiophrenic lymph nodes. Mild aortocaval adenopathy. Medium ascites with large burden of diffuse peritoneal and omental nodules. 

Case Discussion

The very rare diagnosis of desmoplastic small round cell tumor was confirmed with biopsy, which is a type of sarcoma that typically develops in younger males. This patient has extensive tumor spread throughout the peritoneal cavity in addition to a few nodal territories. 

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