Case 403

Medical history

32-year-old female patient with complaints of postprandial fullness, abdominal cramps and bulging of the abdomen that started 6 months ago. On physical examination, a palpable mass was observed in the left hypochondrium and flank. Fluid wave test was negative. Denies weight loss. Ultrasound (US) and computed tomography (CT) of the abdomen, colonoscopy and laparoscopy were requested, and the biopsy specimens revealed features of desmoplastic small round cell tumor.

Considering the clinical history, the imaging exams and the diagnosis indicated by the biopsy, which of the alternatives below describes the most appropriate medical approach?

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