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KMID : 0882420090760040471
Korean Journal of Medicine
2009 Volume.76 No. 4 p.471 ~ p.475
A case of desmoplastic small round cell tumor with Down¡¯s syndrome
Lee Jae-Nam

Lee Sang-Yong
Ryu Hyun-Seok
Jang Soo-Min
Lee Dong-Gun
Choi Jung-Mun
Park Sung Hoo
Abstract
A desmoplastic small round cell tumor (DSRCT) is a rare, aggressive neoplasm that occurs predominantly in children and young men. It presents as a large mass inside the abdomen, particularly within the pelvis, and may be accompanied by extensive tumor implants throughout the peritoneum. Microscopically, it typically appears as nests of small undifferentiated cells within a desmoplastic stroma. A DSRCT shows a special immunohistochemical staining pattern, expressing epithelial, neural, and muscle markers. A DSRCT is associated with a specific chromosomal translocation, t (11;22) (p13;q12), resulting in a chimeric EWS/WT1 transcript that is helpful for diagnosing this tumor. We experienced a case of DSRCT in a 19-year-old man who had been diagnosed with Down¡¯s syndrome.
KEYWORD
Small cell tumor, Desmoplastic, Down¡¯s syndrome
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