Removal of an endometrioid stromal sarcoma from the inferior vena cava and right atrium

Alkady, Hesham; Abouramadan, Sobhy; Nagy, M; Talaat, Ahmed; Hashem, Tarek; Khaleel, Abdalla

doi:10.1007/s11748-018-0902-5

Cited by 3 publications

(1 citation statement)

References 6 publications

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“…A total of 158 reports were identified, including 19 case series and 147 case reports. Out of the identified 258 cases, 45 cases were excluded as follows: detail was not described about each cases (15 cases in 1 case series) [24]; benign diseases (11 cases: 8 cases including 2 case series, mesothelial tumor [25][26][27][28][29]; 1 case, abscess [30]; 1 case, adenofibroma [31]; 1 case, endosalpingiosis was suspected by histological image [32]); no history or coexistence of endometriosis (7 cases) [33][34][35][36][37][38][39]; histological types that were not associated with endometriosis (3 cases) [40][41][42]; coexisting intestinal cancer (2 cases) [43,44]; dissemination of ovarian tumor (2 cases) [45,46]; tumor derived from adenomyosis (2 cases) [47]; primary peritoneal borderline tumor (1 case) [48]; malignancy from endosalpingiosis (1 case) [42]; review from other papers (1 case) [49].…”

Section: Resultsmentioning

confidence: 99%

Malignancies Associated with Extraovarian Endometriosis: A Literature Review

et al. 2021

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Endometriosis-associated ovarian malignancies have been well documented. Although these malignancies also occur as extraovarian lesions, little is known about them. Thus, this literature review aimed to further explore these rarely experienced tumors. A total of 257 published cases between April 1990 and April 2020 were found using PubMed, and 212 cases were included in the analysis considering Sampson’s criteria and the history of endometriosis. We classified these cases as follows: intestine, abdominal scar, vagina and vulva, peritoneum and deep endometriosis, urinary tract, uterine cervix, and others. Age of patients, history of endometriosis, types of past hormonal therapy, symptoms, histological types, and treatment were identified. The most common tumor site was the intestine. Endometrioid carcinoma was the dominant histological type. Contrary to the ovary, clear cell carcinoma was rare in extraovarian sites. On the other hand, clear cell carcinoma represented the largest number of abdominal scars. This difference may help us to understand the development of endometriosis-related malignancies. Hormonal treatment was mentioned in 67 cases and estrogen replacement therapy in 33 cases. Although risks of estrogen therapy are still controversial, the highly differentiated histological types and hormone-dependent characteristics of endometriosis-associated malignancy should be considered. Physicians should be careful about estrogen monotherapy after hysterectomy and long-term hormone replacement therapy in patients with a history of endometriosis.

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Section: Resultsmentioning

confidence: 99%

Malignancies Associated with Extraovarian Endometriosis: A Literature Review

et al. 2021

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Low-grade endometrial stromal sarcoma with intracaval or intracardiac extension: a retrospective study of eight cases

Chen

Wang

Cao

et al. 2022

Arch Gynecol Obstet

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Case Report: Low-grade endometrial stromal sarcoma with intravenous and intracardiac extension: a case after misdiagnosis of endometrial stromal nodule as submucosal fibroid

Chai,

Tao,

Ding

et al. 2023

Front. Oncol.

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We present herein a rare case of large vascular and cardiac metastases of low-grade endometrial stromal sarcoma (LG-ESS) in a female patient, which occurred after misdiagnosis of endometrial stromal nodule (ESN) as submucosal leiomyoma 7 years ago. Preoperative three-dimensional CT reconstruction was used to assess the extent of the lesion. The patient underwent radical resection: thrombectomy and total hysterectomy with bilateral salpingo-oophorectomy without establishing the cardiopulmonary bypass. Intraoperative transesophageal ultrasound (TEE) was used to monitor whether the intracardiac mass was removed completely. To date, this patient is alive without any evidence of recurrence 3 years after surgery. The differential diagnosis of ESN and LG-ESS is often difficult. A clear distinction can only be reliably made after histological analysis of the tumor’s entire interface with the neighboring myometrium. This case highlights that follow-ups of patients with ESN are important. Regular follow-up can detect metastasis and recurrence of misdiagnosed LG-ESS as early as possible. Distant metastasis of LG-ESS is rare, especially involving large vessels or the heart. The treatment should largely rely on multidisciplinary cooperation. Although the surgery is traumatic, the perioperative mortality rate is low, and patients can avoid death from congestive heart failure or sudden death.

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Removal of an endometrioid stromal sarcoma from the inferior vena cava and right atrium

Cited by 3 publications

References 6 publications

Malignancies Associated with Extraovarian Endometriosis: A Literature Review

Malignancies Associated with Extraovarian Endometriosis: A Literature Review

Low-grade endometrial stromal sarcoma with intracaval or intracardiac extension: a retrospective study of eight cases

Case Report: Low-grade endometrial stromal sarcoma with intravenous and intracardiac extension: a case after misdiagnosis of endometrial stromal nodule as submucosal fibroid

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