A case of extrauterine endometrial stromal sarcoma in the colon diagnosed three decades after hysterectomy for benign disease.
A case of extrauterine endometrial stromal sarcoma in the colon diagnosed three decades after hysterectomy for benign disease.
复制标题
一例结肠内子宫外子宫内膜间质肉瘤，在因良性疾病子宫切除术三十年后被诊断出来。
DOI：
10.1155/2013/202458
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发表时间：
2013
影响因子：
--
通讯作者：
Khabele,Dineo
中科院分区：
文献类型：
--
作者：
Ayuso,Andres;Fadare,Oluwole;Khabele,Dineo
子宫外子宫内膜间质肉瘤是一种罕见的原发性子宫内膜间质肉瘤，以延迟复发为特征。在此，我们报告一例罕见的结肠子宫内膜间质肉瘤，患者有子宫切除术的病史。一名80岁女性，在就诊前37年因异常出血和子宫内膜异位症接受子宫切除术和双侧输卵管卵巢切除术，被诊断为结肠ESS。她接受了腹腔镜低位前切除术，然后是醋酸甲地孕酮治疗，并已缓解超过4年。 此病例强调了结肠内子宫外ESS的罕见性，尤其是在没有原发性子宫ESS病史的情况下。患者的子宫内膜异位症病史可能是一个诱发风险因素。结肠内ESS可通过手术切除和激素治疗获得成功。 建议不定期监测以监测晚期复发。
Extrauterine endometrial stromal sarcoma (ESS) is rare and typified by delayed recurrence of primary ESS. Here, we report an unusual case of colonic ESS in a woman with a remote history of hysterectomy. An 80‐year‐old woman, with a history of hysterectomy and bilateral salpingo‐oophorectomy for abnormal bleeding and endometriosis 37 years prior to presentation, was diagnosed with ESS in the colon. She was treated with laparoscopic low anterior resection, followed by megestrol acetate, and has been in remission for more than 4 years. This case highlights the rarity of extra‐uterine ESS in the colon, especially in the absence of a known history of primary uterine ESS. The patient’s history of endometriosis may have been a predisposing risk factor. ESS in the colon may be treated successfully with surgical resection and progestin therapy. Indefinite surveillance is recommended to monitor for late recurrences.