Endometrial Stromal Sarcoma Recurrence in the Caecum

• Published in: Case reports in surgery Vol. 2018; no. 2018; pp. 1 - 4
• Main Authors: Laharwal, Masood A., Khan, Mudassir A., Parray, Fazl Qadir, Mehraj, Asif, Chowdri, N. A., Wani, Rauf A.
• Format: Journal Article
• Language: English
• Published: Cairo, Egypt Hindawi Publishing Corporation 01-01-2018; Hindawi; John Wiley & Sons, Inc; Hindawi Limited
• Subjects: Abdomen; Care and treatment; Case Report; Case reports; Differential diagnosis; Disease; Endometrial cancer; Endometriosis; Endometrium; Gynecology; Health aspects; Hormone replacement therapy; Hormone therapy; Hysterectomy; Metastases; Metastasis; Obstetrics; Oncology; Ovariectomy; Pain; Pathology; Patients; Pelvis; Radiation therapy; Radiotherapy; Sarcoma; Tumors; Uterus; Women
• ISSN: 2090-6900; 2090-6919
• DOI: 10.1155/2018/9139281

Endometrial stromal sarcomas of uterus are quite rare. Most of the recurrences in these tumors are seen in the pelvis. However, extrapelvic recurrences and metastases to other parts are quite unusual. Here, we are reporting a rare case of caecal recurrence of endometrial stromal sarcoma. Case Report. A 52-year-old female presented to us with pain and lump in the right lower abdomen. The patient was earlier subjected to total abdominal hysterectomy with bilateral salpingo-oophorectomy (TAHBSO) for low-grade endometrial stromal sarcoma. Postoperatively patient received radiotherapy but no hormone therapy. After 10 years of follow up patient presented with a polypoidal lesion in the caecum. Patient was evaluated fully and subjected to resection of this polypoidal lesion, which proved out to be high-grade endometrial stromal sarcoma. Conclusion. Recurrence of endometrial stromal sarcoma in the caecum is very rare. However, this entity needs to be kept in mind for differential diagnosis of a caecal mass. Recurrence in such cases may present quite late.