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Case Reports in Oncological Medicine
Volume 2015, Article ID 925453, 6 pages
http://dx.doi.org/10.1155/2015/925453
Case Report

A Rare Case of Metastatic Desmoplastic Small Round Cell Tumour: Diagnosis and Management

1Department of Internal Medicine, Henry Ford Health System, 2799 W. Grand Boulevard, Detroit, MI 48202, USA
2Department of Hematology-Oncology, Henry Ford Health System, 2799 W. Grand Boulevard, Detroit, MI 48202, USA
3Department of Pathology, Henry Ford Health System, 2799 W. Grand Boulevard, Detroit, MI 48202, USA

Received 7 July 2015; Accepted 28 July 2015

Academic Editor: Jose I. Mayordomo

Copyright © 2015 Shahzaib Nabi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A 26-year-old male without any significant past medical history presented to the hospital with shortness of breath, cough, pleuritic chest pain, and weight loss for the past 3 months. On chest CT, he was found to have extensive mediastinal and hilar lymphadenopathy and multiple pulmonary nodules. On physical examination, a right groin mass was noted which had been slowly growing for the past 2 years. Ultrasound of the groin showed complex solid mass with internal vascular channels. CT guided biopsy of the mass showed desmoplastic small round cell tumour. His hospital course was complicated by hypoxic respiratory failure requiring emergent intubation and ICU admission where he completed one cycle of vincristine, cyclophosphamide, and doxorubicin with subsequent improvement, followed by extubation. His condition continued to improve after second cycle of chemotherapy and he was ultimately discharged in a stable condition to continue outpatient chemotherapy after a 2-month inpatient stay.