Skip to main content
Top
Published in: Journal of Medical Case Reports 1/2019

Open Access 01-12-2019 | Cytostatic Therapy | Case report

Irinotecan and vincristine for the treatment of refractory desmoplastic small round cell tumor in a developing country: a case report

Authors: Natalia Brenneken Duarte Ambar, Maria Teresa de Seixas Alves, Henrique Manoel Lederman, Simone Abib, Alexandre Alberto Barros Duarte, Eliana Monteiro Caran

Published in: Journal of Medical Case Reports | Issue 1/2019

Login to get access

Abstract

Introduction

Desmoplastic small round cell tumor is an extremely rare and aggressive cancer that affects mainly adolescents and young adults. Despite multiple therapeutic strategies, most patients have resistant disease with very poor survival rates.

Case presentation

We present a case of a 10-year-old Caucasian boy with a desmoplastic small round cell tumor refractory to conventional treatment who exhibited a good response to alternative treatment. With use of irinotecan and vincristine in association with radiation therapy, a reduction of 96.9% of the dimensions of the target lesions compared with the initial image was observed.

Conclusion

This chemotherapy regimen, in association with radiation therapy, demonstrated efficacy for refractory desmoplastic small round cell tumor in our patient, and it is cost-effective.
Literature
1.
go back to reference Al Balushi Z, Bulduc S, Mulleur C, et al. Desmoplastic small round cell tumor in children: a new therapeutic approach. J Pediatr Surg. 2009;44:949–52. Al Balushi Z, Bulduc S, Mulleur C, et al. Desmoplastic small round cell tumor in children: a new therapeutic approach. J Pediatr Surg. 2009;44:949–52.
2.
go back to reference Bisogno G, Riccardi R. No effect of Irinotecan in patients with resistant desmoplastic small round cell tumor. Pediatr Blood Cancer. 2010;54:182–3.CrossRef Bisogno G, Riccardi R. No effect of Irinotecan in patients with resistant desmoplastic small round cell tumor. Pediatr Blood Cancer. 2010;54:182–3.CrossRef
3.
go back to reference Cliteur VPM, Szuhai K, Baelde HJ, et al. Paratesticular desmoplastic small round cell tumour: an unusual tumour with an unusual fusion; cytogenetic and molecular genetic analysis combining RT-PCR and COBRA-FISH. Clin Sarcoma Res. 2012;2:3.CrossRef Cliteur VPM, Szuhai K, Baelde HJ, et al. Paratesticular desmoplastic small round cell tumour: an unusual tumour with an unusual fusion; cytogenetic and molecular genetic analysis combining RT-PCR and COBRA-FISH. Clin Sarcoma Res. 2012;2:3.CrossRef
4.
go back to reference Fan HS, I’Ons B, McConnell R, et al. Peritonectomy and hypertermic intraperitoneal chemotherapy as treatment for desmoplastic small round cell tumour. Int J Surg Case Rep. 2015;7:85–8.CrossRef Fan HS, I’Ons B, McConnell R, et al. Peritonectomy and hypertermic intraperitoneal chemotherapy as treatment for desmoplastic small round cell tumour. Int J Surg Case Rep. 2015;7:85–8.CrossRef
5.
go back to reference Hayes-Jordan A, Anderson P, Curley S, Herzog C, Lally KP, Green HL, Hunt K, Mansfield P. Continuous hyperthermic peritoneal perfusion for desmoplastic small round cell tumor. J Pediatr Surg. 2007;42:E29–32.CrossRef Hayes-Jordan A, Anderson P, Curley S, Herzog C, Lally KP, Green HL, Hunt K, Mansfield P. Continuous hyperthermic peritoneal perfusion for desmoplastic small round cell tumor. J Pediatr Surg. 2007;42:E29–32.CrossRef
6.
go back to reference Hayes-Jordan A, Green H, Fitzgerald N, Xiao L, Anderson P. Novel treatment for desmoplastic small round cell tumor: hyperthermic intraperitoneal perfusion. J Pediatr Surg. 2010;45(5):1000–6.CrossRef Hayes-Jordan A, Green H, Fitzgerald N, Xiao L, Anderson P. Novel treatment for desmoplastic small round cell tumor: hyperthermic intraperitoneal perfusion. J Pediatr Surg. 2010;45(5):1000–6.CrossRef
7.
go back to reference Hayes-Jordan A, Green HL, Lin H, et al. Complete cytoreduction and HIPEC improves survival in desmoplastic small round cell tumor. Ann Surg Oncol. 2014;21:220–4.CrossRef Hayes-Jordan A, Green HL, Lin H, et al. Complete cytoreduction and HIPEC improves survival in desmoplastic small round cell tumor. Ann Surg Oncol. 2014;21:220–4.CrossRef
8.
go back to reference Hirano G, Irie M, Nakashima Y, Shakado S, Sohda T, Tanaka T, Takamatsu T, Aoki M, Tamura K, Nabeshima K, Sakisaka S. Desmoplastic small round cell tumors in a young man. Intern Med. 2013;52(17):1909–14.CrossRef Hirano G, Irie M, Nakashima Y, Shakado S, Sohda T, Tanaka T, Takamatsu T, Aoki M, Tamura K, Nabeshima K, Sakisaka S. Desmoplastic small round cell tumors in a young man. Intern Med. 2013;52(17):1909–14.CrossRef
9.
go back to reference La Quaglia MP, Brennan MF. The clinical approach to desmoplastic small round cell tumor. Surg Oncol. 2000;9:77–81. 47CrossRef La Quaglia MP, Brennan MF. The clinical approach to desmoplastic small round cell tumor. Surg Oncol. 2000;9:77–81. 47CrossRef
10.
go back to reference Lal DR, Su WT, Wolden SL, et al. Results of multimodal treatment for desmoplastic small round cell tumors. J Pediatr Surg. 2005;40:251–5.CrossRef Lal DR, Su WT, Wolden SL, et al. Results of multimodal treatment for desmoplastic small round cell tumors. J Pediatr Surg. 2005;40:251–5.CrossRef
11.
go back to reference Livaditi E, Mavridis G, Soutis M, et al. Diffuse intraabdominal desmoplastic small round cell tumor: a ten-year experience. Eur J Pediatr Surg. 2006;16:423–7.CrossRef Livaditi E, Mavridis G, Soutis M, et al. Diffuse intraabdominal desmoplastic small round cell tumor: a ten-year experience. Eur J Pediatr Surg. 2006;16:423–7.CrossRef
12.
go back to reference Mora J, Modak S, Cheung NK, et al. Desmoplastic small round cell tumor 20 years after its discovery. Future Oncol. 2015;11(7):1071–81.CrossRef Mora J, Modak S, Cheung NK, et al. Desmoplastic small round cell tumor 20 years after its discovery. Future Oncol. 2015;11(7):1071–81.CrossRef
13.
go back to reference Rosoff PM, Bayliff S. Successful clinical response to irinotecan in desmoplastic round blue cell tumor. Med Pediatr Oncol. 1999;33:500–3.CrossRef Rosoff PM, Bayliff S. Successful clinical response to irinotecan in desmoplastic round blue cell tumor. Med Pediatr Oncol. 1999;33:500–3.CrossRef
14.
go back to reference Yue X, Wang JZ, Tian Y, Wang KJ. Paratesticular desmoplastic small round cell tumor with metastasis: a report of two cases. Kaohsiung J Med Sci. 2014;30:104–5.CrossRef Yue X, Wang JZ, Tian Y, Wang KJ. Paratesticular desmoplastic small round cell tumor with metastasis: a report of two cases. Kaohsiung J Med Sci. 2014;30:104–5.CrossRef
15.
go back to reference Zhang G, Liu G, Zhao D, Cui X, Li G. Desmoplastic small round cell tumor of the abdomen and pelvis: clinicopathological characters of 12 cases. Sci World J. 2014;2014:549612. Zhang G, Liu G, Zhao D, Cui X, Li G. Desmoplastic small round cell tumor of the abdomen and pelvis: clinicopathological characters of 12 cases. Sci World J. 2014;2014:549612.
16.
go back to reference Zhang GM, Zhu Y, Gan HL, Ye DW. Testicular desmoplastic small round cell tumor: a case report and review of literature. World J Surg Oncol. 2014;12:227.CrossRef Zhang GM, Zhu Y, Gan HL, Ye DW. Testicular desmoplastic small round cell tumor: a case report and review of literature. World J Surg Oncol. 2014;12:227.CrossRef
Metadata
Title
Irinotecan and vincristine for the treatment of refractory desmoplastic small round cell tumor in a developing country: a case report
Authors
Natalia Brenneken Duarte Ambar
Maria Teresa de Seixas Alves
Henrique Manoel Lederman
Simone Abib
Alexandre Alberto Barros Duarte
Eliana Monteiro Caran
Publication date
01-12-2019
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2019
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/s13256-019-1985-z

Other articles of this Issue 1/2019

Journal of Medical Case Reports 1/2019 Go to the issue