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Recurrent endometrial stromal sarcoma in the cecum causing intussusception

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Abstract

Introduction

Most endometrial stromal sarcomas (ESS) develop recurrent disease at pelvis and lung. Recurrent ESS in the cecum causing intussusception is a rare but emergent phenomenon.

Case report

After initial surgical treatment in 1997, a 41-year-old female developed recurrent ESS in the cecum causing ileo-colic intussusception in 2008, which were operated with right hemicolectomy. The patient was then treated with progestin for 2 years to date. She has since been disease-free.

Conclusion

This case report emphasizes the importance of long-term follow-up and initial surgical treatment of ESS and suggests systemic hormonal therapy in case of recurrence.

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References

  1. Major FJ, Blessing JA, Silverberg SG et al (1993) Prognostic factors in early-stage uterine sarcoma. A Gynecologic Oncology Group study. Cancer 71:1702–1709

    PubMed  CAS  Google Scholar 

  2. D’Angelo E, Prat J (2010) Uterine sarcomas: a review. Gynecol Oncol 116:131–139

    Article  PubMed  Google Scholar 

  3. Lax SF (2007) Molecular genetic changes in epithelial, stromal and mixed neoplasms of the endometrium. Pathology 39:46–54

    Article  PubMed  CAS  Google Scholar 

  4. Tavassoli F, Devilee P (2003) Pathology and genetics of tumours of the breast and female genital organs. In: World Health Organization classification of tumours. IARC Press, Lyon

    Google Scholar 

  5. Tavassoli FA, Norris HJ (1981) Mesenchymal tumours of the uterus. VII. A clinicopathological study of 60 endometrial stromal nodules. Histopathology 5:1–10

    Article  PubMed  CAS  Google Scholar 

  6. Sutton GP, Stehman FB, Michael H, Young PC, Ehrlich CE (1986) Estrogen and progesterone receptors in uterine sarcomas. Obstet Gynecol 68:709–714

    PubMed  CAS  Google Scholar 

  7. Chu MC, Mor G, Lim C, Zheng W, Parkash V, Schwartz PE (2003) Low-grade endometrial stromal sarcoma: hormonal aspects. Gynecol Oncol 90:170–176

    Article  PubMed  CAS  Google Scholar 

  8. Boardman CH, Webb MJ, Jefferies JA (2000) Low-grade endometrial stromal sarcoma of the ectocervix after therapy for breast cancer. Gynecol Oncol 79:120–123

    Article  PubMed  CAS  Google Scholar 

  9. Huang BY, Warshauer DM (2003) Adult intussusception: diagnosis and clinical relevance. Radiol Clin North Am 41:1137–1151

    Article  PubMed  Google Scholar 

  10. Reich O, Regauer S (2007) Hormonal therapy of endometrial stromal sarcoma. Curr Opin Oncol 19:347–352

    Article  PubMed  CAS  Google Scholar 

  11. Bal A, Mohan H, Aulakh R, Huria A (2008) Endometrial stromal lesions: a morphological and immunohistochemical study of short series. Arch Gynecol Obstet 277:21–24

    Article  PubMed  Google Scholar 

  12. Aubry MC, Myers JL, Colby TV, Leslie KO, Tazelaar HD (2002) Endometrial stromal sarcoma metastatic to the lung: a detailed analysis of 16 patients. Am J Surg Pathol 26:440–449

    Article  PubMed  Google Scholar 

  13. Dahhan T, Fons G, Buist MR, Ten Kate FJ, van der Velden J (2009) The efficacy of hormonal treatment for residual or recurrent low-grade endometrial stromal sarcoma. A retrospective study. Eur J Obstet Gynecol Reprod Biol 144:80–84

    Article  PubMed  CAS  Google Scholar 

  14. Leath CA III, Huh WK, Hyde J Jr et al (2007) A multi-institutional review of outcomes of endometrial stromal sarcoma. Gynecol Oncol 105:630–634

    Article  PubMed  Google Scholar 

  15. Amant F, Coosemans A, Debiec-Rychter M, Timmerman D, Vergote I (2009) Clinical management of uterine sarcomas. Lancet Oncol 10:1188–1198

    Article  PubMed  Google Scholar 

  16. Kim WY, Lee JW, Choi CH et al (2008) Low-grade endometrial stromal sarcoma: a single center’s experience with 22 cases. Int J Gynecol Cancer 18:1084–1089

    Article  PubMed  CAS  Google Scholar 

  17. Thomas MB, Keeney GL, Podratz KC, Dowdy SC (2009) Endometrial stromal sarcoma: treatment and patterns of recurrence. Int J Gynecol Cancer 19:253–256

    Article  PubMed  Google Scholar 

  18. Amant F, Moerman P, Cadron I, Neven P, Berteloot P, Vergote I (2003) The diagnostic problem of endometrial stromal sarcoma: report on six cases. Gynecol Oncol 90:37–43

    Article  PubMed  Google Scholar 

  19. Li N, Wu LY, Zhang HT, An JS, Li XG, Ma SK (2008) Treatment options in stage I endometrial stromal sarcoma: a retrospective analysis of 53 cases. Gynecol Oncol 108:306–311

    Article  PubMed  Google Scholar 

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Correspondence to Wen-Chun Chang.

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Li, CH., Chang, WC. Recurrent endometrial stromal sarcoma in the cecum causing intussusception. Arch Gynecol Obstet 283, 899–901 (2011). https://doi.org/10.1007/s00404-010-1508-z

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  • DOI: https://doi.org/10.1007/s00404-010-1508-z

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