Paratesticular desmoplastic small round cell tumor as an incidental finding during imaging of an obstructed inguinal hernia in an old-age patient

Abstract

Desmoplastic small round cell tumor (DSRCT) is an extremely rare malignancy mainly located in the abdominal and pelvic peritoneal cavity. A few published studies have reported the involvement of testicular/paratesticular region. The present study describes an unusual case of paratesticular DSRCT that was discovered incidentally during imaging of an obstructed inguinal hernia in an old-age patient. After radical orchiectomy, the patient was administered treatment consisting of a multidrug combination chemotherapy and adjuvant radiotherapy and remained disease free during the 24-month followup period, with only one attachment of local tumor recurrence in the right inguinal region.