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Published on: August 4, 2021
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Endometrial Stromal Sarcoma Recurrence in the Caecum.
Nisar A Chowdri1, Asif Mehraj1, Fazl Q Parray1
1Department of Colorectal Surgery, SKIMS, Srinagar, J&K, India.
Case Reports in Surgery
|September 4, 2018
Summary
This case report details a rare instance of endometrial stromal sarcoma recurring in the cecum, a location unusual for this uterine cancer. This highlights the importance of considering rare metastatic sites in cancer follow-up.
Area of Science:
- Gynecologic Oncology
- Surgical Pathology
- Gastrointestinal Oncology
Background:
- Endometrial stromal sarcoma (ESS) is a rare uterine malignancy.
- Pelvic recurrence is common, but extrapelvic metastasis is infrequent.
- This report focuses on an unusual case of late-stage, extrapelvic recurrence.
Observation:
- A 52-year-old female, previously treated for low-grade ESS with total abdominal hysterectomy with bilateral salpingo-oophorectomy (TAHBSO) and radiotherapy, presented with right lower abdominal pain.
- Imaging revealed a polypoidal lesion in the cecum.
- Surgical resection confirmed high-grade ESS recurrence.
Findings:
- This case represents a rare extrapelvic recurrence of endometrial stromal sarcoma.
- The recurrence occurred 10 years after initial treatment and presented as a cecal mass.
- Histological analysis revealed a high-grade transformation of the recurrent tumor.
Implications:
- Cecal recurrence of ESS is exceptionally rare and should be considered in the differential diagnosis of cecal masses.
- Late presentation of extrapelvic recurrence is possible.
- This case underscores the need for vigilance in long-term surveillance for rare metastatic patterns of ESS.
