Re review of therapeutic options. generic viagra canada (case study) health see all results for this publication browse back issues of this publication by date april 1, 2012 | benhammane, hafida; chbani, leila; ousadden, abdelmalek; mouquit, ouadii; tizniti, siham; amarti, afaf riffi; mellas, nouafal; el mesbahi, omar | copyright this material is published under license from the publisher through the gale group, farmington hills, michigan. viagra without prescription All inquiries regarding rights or concerns about this content should be directed to customer service. Permalink create a link to this page copy and paste this link tag into your web page or blog: desmoplastic small round cell tumor of the abdomen: a case report and literature review of therapeutic options. (case study) 1. Introduction desmoplastic small round cell tumor (dsrct) is a rare and highly aggressive sarcoma occurring mainly in children and young adults [1]. The first case was described in 1989 by gerald and rosai [2]. This tumor has predilection for involvement of the peritoneum. viagra for cheap A specific chromosomal translocation t (11; 22) (p13; q12) involving two genes: ews which is characteristic of ewing's sarcoma and wt1 which is a wilms tumor gene, has been documented in dsrct [3]. viagra before or after meal This malignancy puts diagnostic and therapeutic problems; indeed, diagnosis can be suspected by radiological and histological features but it is asserted only by immuno-histochimic and cytogenetic study because of the big number of differential diagnoses and the anatomopathologic polymorphism [2,3]. viagra triangle rush street No curative treatment has been yet documented; current therapeutic options include multiagent chemotherapy and aggressive surgical debulking and radiotherapy [4,5]. The addition of hyperthermic intra-peritoneal chemotherapy in the multimodal approach has been reported in very few cases but no effect on survival has been clearly demonstrated [6]. The prognosis of this disease is poor with a median survival of 17 months approximately [7]. viagra super active plus We report a case of an intra-abdominal dsrct in a 37 -year-old young man who was treated with combination chemotherapy and surgery. buy generic viagra 2. age for viagra use Case presentation a 37-year-old man presented with a 3 months history of abdominal distention with discomfort, constipation and 20 kg weight loss. buy viagra canada His past medical history included pleural tuberculosis treated 20 years ago. Physical examination revealed an 18 cm sized large abdominal mass arising from the pelvis. Computed tomography (ct) of the abdomen objectified two intraperitoneal masses measuring 195 mm and 44 mm long axis respectively in intimate contact with the intraperitoneal organs with pelvic ascites and retroperitoneal lymph nodes; these masses were not confined to any organ-based primary site (figure 1). order viagra online Ct-guided biopsy of the mass has been performed illustrating morphological features of dsrct, and the. can u take viagra and viagra together Copyright © 2011. Design by Flash Templates for Free Flash Templates