Clinical History: 25 years bold male patient came with abdominal pain

Findings:

There is large heterogeneous mass seen in retroperitoneal location in abdominopelvic region. Multiple cystic areas are seen within the mass. Mild vascularity is seen in solid component.

Multiple small rounded and irregular deposits are seen in abdomen, pleura, spleen.

Histopathology report: Abdominal round cell tumour.

Discussion:

An abdominal round cell tumor refers to a type of cancer that is composed of small, round, undifferentiated cells. These tumors can occur in various parts of the abdomen, including the liver, kidneys, intestines, and other soft tissues. The term “round cell” refers to the shape of the cancerous cells when viewed under a microscope.

Round cell tumors in the abdomen can include:

1. Lymphoma: A type of cancer that originates in lymphatic tissue. It can appear as a round cell tumor and is often found in the abdomen in both adults and children.
2. Neuroblastoma: A cancer that starts in nerve tissue, usually in the abdomen. This is more common in children.
3. Rhabdomyosarcoma: A soft tissue cancer that can occur in the abdomen and is made up of round, primitive cells.
4. Small Cell Carcinoma: A type of cancer that can occur in the abdomen, including in the digestive system or liver, and is characterized by small, round cells.
5. Ewing’s Sarcoma: A type of bone or soft tissue cancer that can also develop in abdominal soft tissues, particularly in children and adolescents.

Diagnosis typically involves imaging (such as CT or MRI scans), biopsy, and histopathological examination to determine the type of round cell tumor, its origin, and the appropriate treatment.