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Recurrent endometrial stromal sarcoma in the cecum causing intussusception
1Department of Surgery, Buddhist Tzu Chi General Hospital, Taipei Branch, Taipei, Taiwan.
Archives of Gynecology and Obstetrics
|May 14, 2010
Summary
Endometrial stromal sarcoma (ESS) recurrence in the cecum is rare. Early surgery and hormonal therapy can lead to disease-free survival in these challenging cases.
Area of Science:
- Gynecologic Oncology
- Surgical Gastroenterology
Background:
- Endometrial stromal sarcoma (ESS) commonly recurs in the pelvis and lungs.
- Intussusception due to recurrent ESS in the cecum presents a rare clinical emergency.
Observation:
- A 41-year-old female with ESS developed cecal recurrence causing ileo-colic intussusception 11 years after initial surgery.
- The patient underwent successful right hemicolectomy.
- Adjuvant progestin therapy was administered for 2 years post-operatively.
Findings:
- The patient achieved complete disease remission and remained disease-free.
- This case highlights the potential for successful management of rare ESS recurrences.
Implications:
- Emphasizes the critical role of long-term surveillance for ESS patients.
- Suggests systemic hormonal therapy as a valuable adjuvant treatment for recurrent ESS.
- Underscores the importance of prompt surgical intervention for emergent complications like intussusception.
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