The added value of CEUS and ultrasound-guided biopsy in diagnosing an aggressive desmoplastic small round cell tumour of peritoneum in a young male. A case report.

IF 1.8 4区 医学 Q2 ACOUSTICS
Mihaela Sparchez, Tudor Mocan, Cosmin Caraiani, Ioana Rusu, Zeno Adrian Sparchez
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引用次数: 0

Abstract

Desmoplastic small round cell tumour (DSRCT) is a rare and highly aggressive mesenchymal neoplasm with poor prognosis that develops in male adolescents and young adults. We report the case of a 32-year-old male admitted with abdominal distension and ascites. An ultrasonography (US) scan showed multiple peritoneal masses with large ascites. The dominant mass had a hypervascular homogenous aspect at contrast-enhanced ultrasound with wash-out in the venous phase. Thoracoabdominal CT, performed for staging the disease, confirmed the US aspect. The US-guided percutaneous biopsy revealed DSRCT of the peritoneum. Chemotherapy was then started with minimal clinical improvement, increase in tumoral burden and death after three months. US and US-guided biopsy played an essential role in diagnosing this case. The aggressive course of the disease and seeding at paracentesis sites are the particularities of the presented case.

超声造影和超声引导下活检诊断年轻男性腹膜侵袭性结缔组织增生小圆细胞瘤的附加价值。一份病例报告。
结缔组织增生小圆细胞瘤(DSRCT)是一种罕见的侵袭性间充质肿瘤,预后较差,多发于男性青少年和青壮年。我们报告的情况下,一个32岁的男性入院腹胀和腹水。超声检查显示腹膜多发肿块伴大量腹水。优势肿块在造影增强超声下呈高血管均匀性,在静脉期呈冲洗。胸腹CT对疾病进行分期,证实了美国方面。美国引导下经皮活检显示腹膜DSRCT。化疗开始后,临床改善甚微,肿瘤负担增加,3个月后死亡。美国和美国指导下的活检在诊断本病例中发挥了重要作用。疾病的侵袭性过程和在穿刺术旁的播种是本病例的特点。
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来源期刊
Medical Ultrasonography
Medical Ultrasonography RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
3.20
自引率
5.90%
发文量
79
期刊介绍: The journal aims to promote ultrasound diagnosis by publishing papers in a variety of categories, including editorial letters, original papers, review articles, pictorial essays, technical developments, case reports, letters to the editor or occasional special reports (fundamental, clinical as well as methodological and educational papers). The papers published cover the whole spectrum of the applications of diagnostic medical ultrasonography, including basic science and therapeutic applications. The journal hosts information regarding the society''s activities, scheduling of accredited training courses in ultrasound diagnosis, as well as the agenda of national and international scientific events.
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