High-grade endometrial stromal sarcoma arising from colon endometriosis

Chen, Chuang-Wei; Ou, Jing‐Jim; Wu, Chang‐Chieh; Hsiao, Cheng–Wen; Cheng, Ming‐Fang; Jao, Shu-Wen

doi:10.1007/s00384-006-0267-6

Cited by 18 publications

(18 citation statements)

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“…Endometrial stromal sarcomas in patients with a previous history of endometriosis represent another rare eventuality, only few cases being described so far. Most often, these patients also report a rectosigmoidian invasion, this area being well recognized as a common site of development of deep infiltrating endometriosis (21). Similarly, in our case the patient reported a long history of endometriosis, with previous surgery consisting of resection of an endometrial nodule developed at the level of the Douglas pouch.…”

Section: Discussionsupporting

confidence: 70%

“…However, it seems that debulking surgery to no residual disease seems to have the best results in terms of survival. Moreover, association of adjuvant therapies such as radiation therapy or chemotherapy might improve the rates of 5-year survival especially in patients diagnosed with low grade endometrial stromal sarcomas (21). However, the benefits of the association of chemo-radiotherapy are still strongly debated.…”

Section: Discussionmentioning

confidence: 99%

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Urinary Tract Resections as Part of Debulking Surgery for Locally Advanced Endometrial Stromal Sarcomas

Bacalbaşa

Bălescu

Iliescu

et al. 2020

In Vivo

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Background/aim: Although very rare tumors, uterine sarcomas are extremely aggressive gynecologic malignancies being responsible for a significant number of gynecological cancer-related deaths. However, in such cases, it seems that cytoreductive surgery might increase the lifespan if debulking to no residual disease is achieved. Patients and Methods: We present a case series of three patients diagnosed with endometrial stromal sarcomas in which urinary tract resections were needed in order to maximize the debulking effort. Results: In all cases total hysterectomy with bilateral adnexectomy was performed; in the meantime, urinary tract resection was needed due to the local extension of the neoplastic disease and consisted of unilateral ureteral resection followed by reimplantation through ureteroneocystostomy in one case, bilateral ureteral resection en bloc with partial cystectomy and ureteral reimplantation in one case and total cystectomy with bilateral ureterectomy followed by cutaneous ostomy in the third case. Moreover, one case also necessitated rectosigmoidian resection followed by colorectal anastomosis. In all cases no residual disease was encountered at the end of the debulking surgery.Conclusion: Urinary tract resections might be needed in order to maximize the debulking effort in patients presenting endometrial stromal sarcomas. 793

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Section: Discussionsupporting

confidence: 70%

Section: Discussionmentioning

confidence: 99%

Urinary Tract Resections as Part of Debulking Surgery for Locally Advanced Endometrial Stromal Sarcomas

Bacalbaşa

Bălescu

Iliescu

et al. 2020

In Vivo

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“…The commonest complaint was abdominal pain (9 cases). Other complaints included hematochezia (4 cases) [5], [6], [7], [8], change in bowel habits (4 cases) [5], [6], [8], [9], and tenesmus (1 case) [9]. Only 2 cases, including the current one, presented acutely and were diagnosed following an emergent surgical intervention [10].…”

Section: Discussionmentioning

confidence: 99%

An unexpected diagnosis of primary omental endometrial stromal sarcoma in a patient with acute right abdominal pain: A case report and review of literature

Buchholz

Kiroff

Trochsler

et al. 2017

International Journal of Surgery Case Reports

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HighlightsOnly case in literature without history of endometriosis, on Hormone replacement therapy.Only the second case with isolated omental lesion.Extrauterine Endometrial Stromal Sarcoma (EESS) is an extremely rare mesenchymal tumour.This condition can simulate chronic or acute abdominal pathologies.The tumour can occur without preceding endometriosis, and in upper abdominal location.Biopsy showing typical immunohistochemistry markers is the best way to achieve diagnosis.Hormone replacement therapy may be an independent risk factor for EESS occurrence.

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“…Two cases had ever received replacement hormone therapy. Only one case of low-grade ESS which occurred in colorectum was reported [ 10 ]. Five cases were positive for metastasis.…”

Section: Discussionmentioning

confidence: 99%

Endometrial Stromal Sarcoma Arising in Colorectal Endometriosis: A Case Report and Review of the Literature

Wang

Zhao

Han

2015

Case Reports in Obstetrics and Gynecology

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Extrauterine endometrial stromal sarcoma (ESS) arising in endometriosis is extremely rare, particularly in the colorectum. It should always be included in the differential diagnosis of primary tumors originating from gastrointestinal tract in females, given that preoperative endoscopical biopsy may reveal no specific changes. We reported a case of ESS arising in colorectal endometriosis and reviewed the previous 7 cases reported in the English literature. Our patient, who was unavailable for tumor resection and refused further adjuvant therapy, played a role in representing the natural history of low-grade extragenital ESS. This case was the only death from ESS arising in colorectal endometriosis.

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High-grade endometrial stromal sarcoma arising from colon endometriosis

Cited by 18 publications

References 0 publications

Urinary Tract Resections as Part of Debulking Surgery for Locally Advanced Endometrial Stromal Sarcomas

Urinary Tract Resections as Part of Debulking Surgery for Locally Advanced Endometrial Stromal Sarcomas

An unexpected diagnosis of primary omental endometrial stromal sarcoma in a patient with acute right abdominal pain: A case report and review of literature

Endometrial Stromal Sarcoma Arising in Colorectal Endometriosis: A Case Report and Review of the Literature

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