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Open Access Highly Accessed Case Report

Desmoplastic small round cell tumour in a 74 year old man: an uncommon cause of ascites (case report)

Andrew J Heikkila1* and Ally PH Prebtani2

Author affiliations

1 McMaster University, Department of Anesthesia, Health Sciences Centre 2U1, 1200 Main Street West, Hamilton, Ontario, Canada

2 Hamilton General Hospital, 237 Barton Street, Hamilton, Ontario, Canada

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Citation and License

Diagnostic Pathology 2011, 6:55  doi:10.1186/1746-1596-6-55

Published: 23 June 2011

Abstract

A rare case is provided of a 74 year old man who presented with ascites of unknown etiology. CT scan of the abdomen revealed extensive omental caking, and omental biopsy cytogenetics showed findings in keeping with a diagnosis of desmoplastic small round cell tumour (DSRCT). This case is unique in that it involves a significantly older patient, negative WT1 immunohistochemical staining, and negative cytology. Despite repeated paracenteses and fluid management, the patient died in hospital secondary to renal complications.

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