“…It was originally described as a tumor primarily involving the abdominal peritoneum, with characteristic small round cell morphology (1,(3)(4)(5). Although the histogenesis of desmoplastic small round cell tumor has yet to be elucidated, immunophenotypical analysis shows a polyphenotypic differentiation overlapping with other round cell tumors such as Ewing's sarcoma/peripheral neuroectodermal tumors, rhabdomyosarcoma, Wilms' tumor, small cell mesothelioma, and carcinoma (1)(2)(3)(4)(5). Genetic studies revealed a characteristic translocation between the EWS gene on chromosome 22 and the WT1 gene on chromosome 11, resulting in an EWS-WT1 fusion gene (6 -8).…”