Francis Kino Ceon, South Chevar O'Shay, Williams Bonnie-Paul Regis, Gabriel Kurt Garey, Bromfield Mahiri
Department of Diagnostic and Interventional Radiology, University Hospital of the West Indies, Mona, Kingston, Jamaica.
Department of Pathology, University of the West Indies, Mona, Kingston, Jamaica.
BJR Case Rep. 2020 Feb 12;6(1):20190060. doi: 10.1259/bjrcr.20190060. eCollection 2020 Mar.
Desmoplastic Small Round Cell Tumour (DSRCT) is a rare malignancy that has only a few cases documented in the literature. We report a case of DSRCT in the abdomen and pelvis that was identified following ultrasound-guided biopsy of one of the numerous liver lesions seen on imaging in a 13-year-old Afro-Caribbean female with increased abdominal girth. The tumour was characterized by all routine imaging modalities available at the time. To our knowledge, this is the first reported and published case in the English speaking Caribbean. In the review of the literature, we correlate the imaging findings with previously reported cases. The diagnosis of DSRCT cannot be made solely using standard imaging techniques, but radiologists should be suspicious of DSRCT as a differential diagnosis in a young patient with increased abdominal girth, multiple liver and peritoneal deposits seen on imaging. Written informed consent for the case to be published (incl. images, case history, and data) was obtained from the parents of this patient for publication of this case report, including accompanying images.
促纤维增生性小圆细胞瘤（DSRCT）是一种罕见的恶性肿瘤，文献中仅有少数病例记载。我们报告一例发生于一名13岁非洲加勒比裔女性腹部和盆腔的DSRCT，该病例是在对一名腹围增大的患者进行超声引导下活检时发现的，该患者影像学检查发现肝脏有多处病变。当时所有常规成像方式均对该肿瘤进行了特征描述。据我们所知，这是加勒比英语地区首例报道并发表的病例。在文献回顾中，我们将影像学表现与先前报道的病例进行了对比。仅使用标准成像技术无法确诊DSRCT，但对于一名腹围增大、影像学检查发现肝脏和腹膜有多处沉积物的年轻患者，放射科医生应怀疑DSRCT并将其作为鉴别诊断之一。已获得该患者父母对本病例报告（包括图像、病史和数据）发表的书面知情同意。
