Abstract

MORALES, Lelis Noelia; ALONSO, Florentino José  and  PERROTTA, Francisco Manuel. On the subject of a case: Intra-abdominal desmoplastic small and round cell tumor: a medical-surgical and physiotherapeutic approach. An. Fac. Cienc. Méd. (Asunción) [online]. 2021, vol.54, n.2, pp.137-144. ISSN 1816-8949.  https://doi.org/10.18004/anales/2021.054.02.137.

The desmoplastic small round cell tumor is a rare aggressive tumor, the prognosis is poor and it has a total survival of 15% at 5 years. We presented the clinical case of a patient with a diagnosis of desmoplastic tumor, who underwent cytoreductive surgery and hyperthermic intraperitoneal chemotherapy, hospitalized for 46 days, where he received multidisciplinary treatment.Physical Therapy treatment began after surgery and continued on an outpatient basis, finally achieving independent walking, completing a total of 20 sessions. The clinical evolution demonstrated the importance of interdisciplinary work from the first contact with the patient. Despite the unfavorable outcome of the patient, in the post-surgical recovery time, therapeutics could be accessed, achieving important results regarding physical independence. The report presented corresponds to the third case of this pathology, submitted to surgery at the Hospital de Clínicas of the Faculty of Medical Sciences, the contribution of this report allows us to assess the comprehensive management of an oncological patient.

Keywords : abdominal desmoplastic small-cell tumor; peritoneal sarcomatosis; cytoreductive surgery; surgical kinesic clinical treatment; palliative physiotherapy..

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