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Desmoplastic Small Round Cell Tumor in the Abdomen and Pelvis: Report of CT Findings in 11 Affected Children and Young Adults

Richard Bellah1, Lisa Suzuki-Bordalo1, Eric Brecher1, Jill P. Ginsberg2, John Maris2 and Bruce R. Pawel3

1 Department of Radiology, The Children's Hospital of Philadelphia, 34th and Civic Center Blvd., Philadelphia, PA 19104.
2 Division of Oncology, The Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, PA.
3 Department of Pathology, The Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, PA.



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  		Fig. 1A. —13-year-old boy with abdominal pain and distention. Contrast-enhanced abdominopelvic CT scan shows diffuse studding of peritoneal surfaces and omentum by multiple soft-tissue masses (arrowheads) and lymphadenopathy (n).

 


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  		Fig. 1B. —13-year-old boy with abdominal pain and distention. CT scan obtained at lower level shows large mesenteric masses (arrows) and omental studding (arrowheads).

 


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  		Fig. 1C. —13-year-old boy with abdominal pain and distention. More caudally, large retrovesical mass (M) is present. b = bladder.

 


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  		Fig. 2A. —10-year-old girl with large mass in left upper quadrant. Axial unenhanced abdominopelvic CT shows large, solid heterogeneous mass with scattered calcifications (arrowheads) within lesser sac.

 


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  		Fig. 2B. —10-year-old girl with large mass in left upper quadrant. Contrast-enhanced CT shows heterogeneous mass with areas of low attenuation (arrowheads).

 


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  		Fig. 2C. —10-year-old girl with large mass in left upper quadrant. Photomicrograph shows nests and cords of small, round undifferentiated cells (arrowheads) separated by myxomatous desmoplastic stroma.

 

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