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Mypacs. Net: radiology teaching files > case 643704   small round cell tumor (desmoplastic) contributed by: children's hospital omaha, radiologist, omaha childrens, creighton university and unmc, nebraska, usa. History: 10-year-old presenting with right flank pain and lethargy images: [small] larger fig. 1: small bowel obstruction fig. 2: liver metastasis in right lobe. Nodule also on surface of right hemidiaphragm. Fig. 3: retroperitoneal masses, peritoneal and hepatic lesion. Right sided hydronephrosis and delayed nephrogram due to due to encasement of ureter near bladder insertion. Fig. 4: pelvic involvement behind the bladder fig. 5: ureteral stent with distal end in the bladder. Note nodularity at site of ureteric insertion. Fig. 6: small round blue cell tumour fig. 7 discussion: intra-abdominal desmoplastic small round cell tumor (dsrct) -(dsrct) is a recently described, rare neoplasm that usually occurs in male adolescents, has a poor prognosis- this aggressive neoplasm exhibits a predominantly intra-abdominal serosal pattern, with frequent pelvic extension, less frequent retroperitoneal involvement, and rare pulmonary and mediastinal spread. Imaging findings: - lobulated peritoneal masses (mean number, 4. 4; range, 1-17) with a mean diameter of 5. 0 cm (range, 2-12 cm). - omental and paravesical tumors. - retroperitoneal masses which are defined and hypoechoic at us. Heterogeneity due to tumor hemorrhage or necrosis is sometimes seen- ascites is seen in approximately one third. -parenchymal and/or serosal hepatic metastases, punctate calcifications, nodular peritoneal thickening, lymphadenopathy, hydronephrosis, and bowel obstruction were less common associated findings. - bulky peritoneal soft-tissue masses without an apparent organ-based primary site are characteristic of intraabdominal desmoplastic small round cell tumor. - although the findings are nonspecific, this diagnosis can be considered in adolescents and young adults with characteristic imaging findings. References: 1. Intra-abdominal desmoplastic small round cell tumor with extensive extra-abdominal involvement. Resnick mb, donovan m. Pediatr pathol lab med. 1995 sep-oct;15(5):797-803. 2. Pickhardt pj, fisher aj, balfe dm, dehner lp, huettner pc. Desmoplastic small round cell tumor of the abdomen: radiologic-histopathologic correlation. cheap generic viagra buy cheap viagra generic viagra online cheap viagra buy viagra online buy cheap viagra http://floridalighttacklecharters.com/thq-secure-canadian-pharmacy-online-cheap-viagra-iq/ viagra for sale buy generic viagra cheap viagra online Radiology. 1999 mar;210(3):633-8. "radiology journal" contributed by:phillip silberberg m. D. , department of radiology, children's hospital, omaha, nebenjamin silberberg comments: no comments posted. Additional details: case number: 643704 last updated: 07-26-2006 anatomy: gastrointestinal (gi)   pathology: neoplasm modality. back to home