A very late recurrence of a formerly misdiagnosed low grade endometrial stromal sarcoma metastasized to the colon

被引：7
作者：
Bakker, Ilsalien S. [1 ]
Hoven-Gondrie, Miriam L. [2 ]
Moll, Freek C. P. [3 ]
de Haan, Harm H. [4 ]
机构：
[1] Univ Groningen, Univ Med Ctr Groningen, Dept Surg, Groningen, Netherlands
[2] Isala Clin, Dept Surg, Zwolle, Netherlands
[3] Isala Clin, Dept Pathol, Zwolle, Netherlands
[4] Isala Clin, Dept Gynecol, Zwolle, Netherlands
来源：
INTERNATIONAL JOURNAL OF SURGERY CASE REPORTS | 2013年 / 4卷 / 12期
关键词：
Endometrial stromal sarcoma; Mesenchymal tumor; Uterine malignancy; Recurrence;
D O I：
10.1016/j.ijscr.2013.09.017
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
INTRODUCTION: Endometrial stromal sarcomas are rare mesenchymal neoplasms of the uterus with an indolent clinical course but a high risk of recurrence. PRESENTATION OF CASE: We report a case of a 78 year old woman who presented with rectal bleeding and recurrent urinary tract infections, caused by a very late recurrence of a formerly misdiagnosed low grade endometrial stromal sarcoma, metastasized to the colon. DISCUSSION: Endometrial stromal sarcomas are difficult to diagnose, both due to the rarity of the tumor and because of the close resemblance of the tumor to normal stromal tissue. These tumors are known for a high tendency of recurrence, therefore long term follow up is required in patients with endometrial stromal sarcoma. CONCLUSION: In patients with a history known for endometrial stromal sarcoma recurrence should always be considered. (C) 2013 The Authors. Published by Elsevier Ltd on behalf of Surgical Associates Ltd.
引用
收藏
页码：1113 / 1116
页数：4
相关论文
共 10 条
[1]   PRIMARY EXTRAUTERINE ENDOMETRIAL STROMAL NEOPLASMS - A CLINICOPATHOLOGICAL STUDY OF 20 CASES AND A REVIEW OF THE LITERATURE [J].
CHANG, KL ;
CRABTREE, GS ;
LIMTAN, SK ;
KEMPSON, RL ;
HENDRICKSON, MR .
INTERNATIONAL JOURNAL OF GYNECOLOGICAL PATHOLOGY, 1993, 12 (04) :282-296
[2]   PRIMARY UTERINE ENDOMETRIAL STROMAL NEOPLASMS - A CLINICOPATHOLOGICAL STUDY OF 117 CASES [J].
CHANG, KL ;
CRABTREE, GS ;
LIMTAN, SK ;
KEMPSON, RL ;
HENDRICKSON, MR .
AMERICAN JOURNAL OF SURGICAL PATHOLOGY, 1990, 14 (05) :415-438
[3]   Low-grade endometrial stromal sarcoma: hormonal aspects [J].
Chu, MC ;
Mor, G ;
Lim, CY ;
Zheng, WX ;
Parkash, V ;
Schwartz, PE .
GYNECOLOGIC ONCOLOGY, 2003, 90 (01) :170-176
[4]   Endometrial stromal sarcoma: Analysis of treatment failures and survival [J].
Gadducci, A ;
Sartori, E ;
Landoni, F ;
Zola, P ;
Maggino, T ;
Urgesi, A ;
Lissoni, A ;
Losa, G ;
Fanucchi, A .
GYNECOLOGIC ONCOLOGY, 1996, 63 (02) :247-253
[5]   UTERINE LEIOMYOSARCOMA AND ENDOMETRIAL STROMAL SARCOMA - LYMPH-NODE METASTASES AND SITES OF RECURRENCE [J].
GOFF, BA ;
RICE, LW ;
FLEISCHHACKER, D ;
MUNTZ, HG ;
FALKENBERRY, SS ;
NIKRUI, N ;
FULLER, AF .
GYNECOLOGIC ONCOLOGY, 1993, 50 (01) :105-109
[6]  
Hendrickson MR, 2003, PATHOLOGY GENETICS O
[7]   Treatment options in stage I endometrial stromal sarcoma: A retrospective analysis of 53 cases [J].
Li, Ning ;
Wu, Ling-Ying ;
Zhang, Hong-Tu ;
An, Ju-Sheng ;
Li, Xiao-Guang ;
Ma, Shao-Kang .
GYNECOLOGIC ONCOLOGY, 2008, 108 (02) :306-311
[8]   Low-grade endometrial stromal sarcoma with inferior vena cava tumor thrombus and intracardiac extension: Radical resection may improve recurrence free survival [J].
Renzulli, Pietro ;
Weimann, Rosemarie ;
Barras, Jean-Pierre ;
Carrel, Thierry-Pierre ;
Candinas, Daniel .
SURGICAL ONCOLOGY-OXFORD, 2009, 18 (01) :57-64
[9]   Preoperative diagnosis and treatment results in 106 patients with uterine sarcoma in Hokkaido, Japan [J].
Sagae, S ;
Yamashita, K ;
Ishioka, S ;
Nishioka, Y ;
Terasawa, K ;
Mori, M ;
Yamashiro, K ;
Kanemoto, T ;
Kudo, R .
ONCOLOGY, 2004, 67 (01) :33-39
[10]   Lymphadenectomy and Ovarian Preservation in Low-Grade Endometrial Stromal Sarcoma [J].
Shah, Jay P. ;
Bryant, Christopher S. ;
Kumar, Sanjeev ;
Ali-Fehmi, Rouba ;
Malone, John M., Jr. ;
Morris, Robert T. .
OBSTETRICS AND GYNECOLOGY, 2008, 112 (05) :1102-1108
1