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J Coll Physicians Surg Pak. 2010 Aug;20(8):554-5. doi: 08.2010/JCPSP.554555.

Omental caking: a rare manifestation of malignant peripheral nerve sheath tumour.

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  • 1Department of Clinical Oncology, KIRAN Hospital, Karachi.


Malignant peripheral nerve sheath tumour (MPNST) is a very rare tumour with an incidence of one per 100,000 and constitutes between 3 to 10% of all soft tissue sarcomas. Most of the sarcoma involve the extremities and retroperitoneal regions. However, this case presented with mass in left inguinal region and then spread rapidly to omentum, assuming the appearance of an omental cake. Mass responded well to chemotherapy comprising of Ifosfamide and Doxorubicin.

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