Rare peritoneal tumour presenting as uterine fibroid

Authors

  • Janu Mangala Kanthi Department of Obstetrics and Gynaecology, Amrita Institute of Medical Sciences, Ponekkara, Kochi-41, Kerala, India
  • Sarala Sreedhar Department of Obstetrics and Gynaecology, Amrita Institute of Medical Sciences, Ponekkara, Kochi-41, Kerala, India
  • Indu R. Nair Department of Obstetrics and Gynaecology, Amrita Institute of Medical Sciences, Ponekkara, Kochi-41, Kerala, India

Keywords:

Desmoplatic small round cell tumour, Myoma uterus

Abstract

Tumour arising from the uterus in the reproductive age group commonly belongs to benign category, the myoma uterus. Here we present a case report of a 22yr old primiparous mother with uterine metastasis from a rare peritoneal malignancy desmoplastic small round cell tumour who presented as uterine myoma. Desmoplastic small round cell tumour is a rare aggressive neoplasm arising from mesothelial cell, with poor prognosis. This woman presented with excessive bleeding per vaginum in the postpartum period,3months after caesarean section.24weeks  enlarged uterine mass found for which uterine artery embolisation was done in vain, later she was planned to undergo myomectomy. But due to widespread uterine mass, hysterectomy was done which led to the diagnosis of this rare neoplasm.

References

Stuart-Buttle CE, Smart CJ, Pritchard S, Martin D, Welch IM. Desmoplastic small round cell tumour: a review of literature and treatment options. Surg Oncol. 2008 Aug;17(2):107-12.

Arora VC, Price AP, FlemingS, Sohn MJ, Magnan H, La Quaglia MP, Abramson S. Characteristic imaging features of desmoplastic small round cell tumour. Peadiatr Radiol. 2013 Jan;43(1):93-102.

B. Kis, K. n O’Regan, A. Agoston, O. Javery, J. Jagannathan, N. H. Ramaiya. Imagimg of small round cell tumour in adults. Br J Radiol. 2012 Feb; 85(1010):187-92.

Lae ME, Roche PC, Jin L, Lloyd RV, Nascimento AG. Desmoplastic small round cell tumor: a clinicopathologic, immunohistochemical, and molecular study of 32 tumors. Am J Surg Pathol. 2002 Jul;26(7):823-35.

Downloads

Published

2017-01-02

Issue

Section

Case Reports