Desmoplastic Small Round Cell Tumor as a Rare Cause of an Incarcerated Epigastric Linea Alba Hernia: A Case Report and Literature Review

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Authors

PEKAŘ Matej JANDA Zdeněk FRANKOVÁ Kristýna

Year of publication 2024
Type Article in Periodical
Magazine / Source CUREUS
MU Faculty or unit

Faculty of Medicine

Citation
Web https://www.cureus.com/articles/260497-desmoplastic-small-round-cell-tumor-as-a-rare-cause-of-an-incarcerated-epigastric-linea-alba-hernia-a-case-report-and-literature-review#!/
Doi http://dx.doi.org/10.7759/cureus.61729
Keywords Small Round Cell Tumor; Incarcerated Epigastric Linea Alba Hernia
Description Desmoplastic small round cell tumor is a very rare soft tissue sarcoma with a bleak prognosis and short patient survival. The most common occurrence is in 20-30-year-old men. Our study presents the case report of a 40-year-old patient who was diagnosed with this sarcoma. The first symptom of the illness was an incarcerated epigastric hernia with sarcoma metastasis resembling an intestinal loop in an ultrasound image. The fluorescence in situ hybridization (FISH) method showed a fusion of the EWS and WT1 genes. Systemic palliative chemotherapy using the VDC-IE (vincristine, doxorubicin, cyclophosphamide, ifosfamide, and etoposide) regimen was chosen instead of further surgery due to the disease's generalization. However, the therapy failed to halt the disease progression and was thus terminated after 18 months. The patient's overall survival was 19 months. The rare character of this disease complicates the diagnostics in clinical practice. Nevertheless, rare sarcomas should be considered in patients with non-specific abdominal symptoms, including patients with incarcerated ventral hernia.
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