PMID- 36483026 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20221210 IS - 2234-943X (Print) IS - 2234-943X (Electronic) IS - 2234-943X (Linking) VI - 12 DP - 2022 TI - Giant desmoplastic small round cell tumor of the abdomen: A case report. PG - 992346 LID - 10.3389/fonc.2022.992346 [doi] LID - 992346 AB - BACKGROUND: Desmoplastic small round cell tumor (DSRCT) is a rare, aggressive, mesenchymal malignancy of a separate clinicopathological entity. It has a predilection for young men, with no evidence of any ethnic predilection. The current diagnostic gold standard for DSRCT includes histopathologic, immunohistochemical, and cytogenetic studies in order to confirm the variable phenotypic expression and characteristic chromosomal translocation. CASE SUMMARY: A 65-year-old man presented with a sensation of an abdominal mass and a presentation of an incomplete bowel obstruction. Initial lab tests were in the normal range except for carbohydrate antigen. Contrast-enhanced CT showed that a large, mass-confounding density was occupied in the omentum majus area of the middle and lower abdominal wall. A 3D reconstruction of the images was performed to clarify the relationship between the tumor and the colon and was confirmed by a colonoscopy. After surgery, immunohistochemistry and fluorescence in situ hybridization (FISH) revealed EWSR1-WT1 gene rearrangement at 22q12, confirming the diagnosis of desmoplastic small round cell tumor. CONCLUSION: Being different from the predilection of DSRCT for young men, the patient in our case is a 65-year-old man with a huge mass involving the transverse colon and the bladder. CI - Copyright (c) 2022 Wang, Chen, Wang and Su. FAU - Wang, Wuke AU - Wang W AD - Department of General Surgery, Hwa Mei Hospital, University of Chinese Academy of Sciences, Ningbo No. 2 Hospital, Ningbo, China. FAU - Chen, Yunjie AU - Chen Y AD - Department of General Surgery, Hwa Mei Hospital, University of Chinese Academy of Sciences, Ningbo No. 2 Hospital, Ningbo, China. FAU - Wang, Chunnian AU - Wang C AD - Department of Gastrointestinal Pathology, Ningbo Diagnostic Pathology Center, Ningbo, China. FAU - Su, Hui AU - Su H AD - Department of General Surgery, Hwa Mei Hospital, University of Chinese Academy of Sciences, Ningbo No. 2 Hospital, Ningbo, China. AD - Department of Gastrointestinal Surgery, First Affiliated Hospital of Jinan University, Guangzhou, China. LA - eng PT - Case Reports DEP - 20221122 PL - Switzerland TA - Front Oncol JT - Frontiers in oncology JID - 101568867 PMC - PMC9723381 OTO - NOTNLM OT - DSRCT OT - abdominopelvic tumor OT - case report OT - desmoplastic small round cell tumor OT - medium-elderly male COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/12/10 06:00 MHDA- 2022/12/10 06:01 PMCR- 2022/01/01 CRDT- 2022/12/09 03:53 PHST- 2022/07/12 00:00 [received] PHST- 2022/10/03 00:00 [accepted] PHST- 2022/12/09 03:53 [entrez] PHST- 2022/12/10 06:00 [pubmed] PHST- 2022/12/10 06:01 [medline] PHST- 2022/01/01 00:00 [pmc-release] AID - 10.3389/fonc.2022.992346 [doi] PST - epublish SO - Front Oncol. 2022 Nov 22;12:992346. doi: 10.3389/fonc.2022.992346. eCollection 2022.