Management of desmoplastic small round cell tumor Journal Article


Authors: Hayes-Jordan, A.; LaQuaglia, M. P.; Modak, S.
Article Title: Management of desmoplastic small round cell tumor
Abstract: Desmoplastic small round cell tumor (DSRCT) is a soft tissue sarcoma of mesenchymal cell origin that typically presents with multiple intra-abdominal tumors and exhibits a multi-phenotypic pattern of immunohistochemical staining. The specific organ or tissue type of origin has yet to be identified. DSRCT rarely arises as a singular tumor in the abdomen; in most cases, there are dozens to hundreds of abdominal peritoneal tumors that are detected on diagnosis. One very large dominant mass is usually present in the omentum, with an additional one or two large conglomerates of tumors in the pelvis and right peritoneum, respectively. Despite an often overwhelmingly large number of abdominal tumors, symptoms of bowel obstruction are rare. Ascites may be present. In late stages, pleural effusions, pleural implants, mediastinal adenopathy, supraclavicular adenopathy, or bone metastasis may be present. With this challenging disease, multidisciplinary therapy, including aggressive surgery, is warranted. This review will address DSRCT biology and treatment options and discuss outcomes. © 2016 Elsevier Inc.
Keywords: pediatric; sarcoma; childhood; hipec; sarcomatosis
Journal Title: Seminars in Pediatric Surgery
Volume: 25
Issue: 5
ISSN: 1055-8586
Publisher: Elsevier Inc.  
Date Published: 2016-10-01
Start Page: 299
End Page: 304
Language: English
DOI: 10.1053/j.sempedsurg.2016.09.005
PROVIDER: scopus
PUBMED: 27955733
PMCID: PMC5614508
DOI/URL:
Notes: Article -- Export Date: 3 January 2017 -- Source: Scopus
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  1. Shakeel Modak
    249 Modak