Continuous hyperthermic peritoneal perfusion for desmoplastic small round cell tumor.
Desmoplastic small round cell tumor (DSRCT) is a rare disease of children, adolescents, and young adults that begins and spreads on the peritoneal surfaces. Desmoplastic small round cell tumor usually presents with diffuse abdominal metastatic disease similar in gross appearance to carcinomatosis. To date, very aggressive treatment programs have yielded dismal outcomes. Here we present 2 cases of DSRCT that were treated with aggressive surgical excision followed by intraoperative continuous hyperthermic peritoneal perfusion using cisplatin. These are the first pediatric case reports of DSRCT being treated with continuous hyperthermic peritoneal perfusion, a procedure usually used in treatment of adult carcinomatosis.
Hayes-Jordan
Andrea
A
Department of Surgical Oncology at the University of Texas MD Anderson Cancer Center and MDACC-Children's Cancer Hospital, USA. andrea.hayes-jordan@uth.tmc.edu
Anderson
Pete
P
Curley
Steven
S
Herzog
Cynthia
C
Lally
Kevin P
KP
Green
Holly L
HL
Hunt
Kelly
K
Mansfield
Paul
P
D000008:Abdominal Neoplasms / Q000188:drug therapy* / Q000473:pathology / Q000601:surgery; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage*; D002166:Camptothecin / Q000008:administration & dosage / Q000031:analogs & derivatives; D002648:Child; D002945:Cisplatin / Q000008:administration & dosage; D003606:Dacarbazine / Q000008:administration & dosage / Q000031:analogs & derivatives; D006801:Humans; D006979:Hyperthermia, Induced; D007263:Infusions, Parenteral; D000077146:Irinotecan; D008297:Male; D000077204:Temozolomide
D000077146:Irinotecan; D003606:Dacarbazine; D002945:Cisplatin; D002166:Camptothecin; D000077204:Temozolomide