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Endometrial stromal sarcoma of the sigmoid colon: a case report and literature review
Endometrial stromal sarcoma (ESS) is a rare mesenchymal tumor of the uterus that accounts for 7–25% of uterine sarcomas and
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| Published in: | International cancer conference journal 2021-10, Vol.10 (4), p.294-299 |
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| container_end_page | 299 |
| container_issue | 4 |
| container_start_page | 294 |
| container_title | International cancer conference journal |
| container_volume | 10 |
| creator | Tajiri, Takuya Mima, Kosuke Kanemitsu, Kosuke Takematsu, Toru Kosumi, Keisuke Inoue, Mitsuhiro Mizumoto, Takao Kubota, Tatsuo Muto, Reiji Murayama, Toshihiko Miyanari, Nobutomo Baba, Hideo |
| description | Endometrial stromal sarcoma (ESS) is a rare mesenchymal tumor of the uterus that accounts for 7–25% of uterine sarcomas and |
| doi_str_mv | 10.1007/s13691-021-00493-z |
| format | article |
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Previously reported sites include the ovary, bowel wall, abdomen, peritoneum, pelvis, and vagina; however, ESS in the extrauterine area is rare. We report a rare case of endometrial stromal sarcoma that developed in the sigmoid colon along the gonadal vasculature, which was difficult to distinguish from colon cancer. A large polyp was found in the sigmoid colon of a 74-year-old woman during a routine medical examination and was diagnosed as tubular adenoma. On colonoscopy 7 months later, the tumor had grown and blocked the lumen, causing stenosis. She was referred to our hospital for surgery. Although detailed examination at our hospital did not yield a definitive diagnosis, bowel obstruction was considered likely and we performed laparoscopic low anterior resection under a preoperative diagnosis of sigmoid colon cancer. The tumor protruded into the sigmoid colon from the stump of the ovarian arteries and veins outside the intestinal tract. As the left ovarian artery and vein were involved in the tumor, we extracted them as a lump. The tumor was diagnosed as low-grade ESS (LG-ESS). She had a history of hysterectomy and left salpingo-oophorectomy for uterine myoma 25 years ago, and radiation therapy was performed after surgery for an unknown reason. The postoperative course was uneventful, and follow-up was continued at the request of the patient. We report a rare case of ESS infiltrating the sigmoid colon, which was probably a lesion derived from endometriosis of the ovarian arteriovenous stump remaining after surgery 25 years ago.</description><identifier>ISSN: 2192-3183</identifier><identifier>EISSN: 2192-3183</identifier><identifier>DOI: 10.1007/s13691-021-00493-z</identifier><identifier>PMID: 34567941</identifier><language>eng</language><publisher>Singapore: Springer Singapore</publisher><subject>Abdomen ; Antigens ; Arteries ; Biopsy ; Cancer therapies ; Case Report ; Case reports ; Colon cancer ; Colonoscopy ; Colorectal cancer ; Cysts ; Diagnosis ; Endocrine therapy ; Endometriosis ; Endometrium ; Fibroids ; Hysterectomy ; Intestine ; Laparoscopy ; Literature reviews ; Lymphatic system ; Medicine ; Medicine & Public Health ; Oncology ; Oophorectomy ; Ovariectomy ; Ovaries ; Patients ; Pelvis ; Peritoneum ; Polyps ; Radiation therapy ; Rectum ; Sarcoma ; Small intestine ; Stenosis ; Surgery ; Surgical Oncology ; Tomography ; Tumors ; Uterine cancer ; Uterus ; Vagina ; Veins & arteries</subject><ispartof>International cancer conference journal, 2021-10, Vol.10 (4), p.294-299</ispartof><rights>The Japan Society of Clinical Oncology 2021</rights><rights>The Japan Society of Clinical Oncology 2021.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c323t-25a9d4bf06d234551e615dfe27f368014c9b53c63beaead4c654f23065a9588b3</cites><orcidid>0000-0002-6758-4253</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8421480/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8421480/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids></links><search><creatorcontrib>Tajiri, Takuya</creatorcontrib><creatorcontrib>Mima, Kosuke</creatorcontrib><creatorcontrib>Kanemitsu, Kosuke</creatorcontrib><creatorcontrib>Takematsu, Toru</creatorcontrib><creatorcontrib>Kosumi, Keisuke</creatorcontrib><creatorcontrib>Inoue, Mitsuhiro</creatorcontrib><creatorcontrib>Mizumoto, Takao</creatorcontrib><creatorcontrib>Kubota, Tatsuo</creatorcontrib><creatorcontrib>Muto, Reiji</creatorcontrib><creatorcontrib>Murayama, Toshihiko</creatorcontrib><creatorcontrib>Miyanari, Nobutomo</creatorcontrib><creatorcontrib>Baba, Hideo</creatorcontrib><title>Endometrial stromal sarcoma of the sigmoid colon: a case report and literature review</title><title>International cancer conference journal</title><addtitle>Int Canc Conf J</addtitle><description>Endometrial stromal sarcoma (ESS) is a rare mesenchymal tumor of the uterus that accounts for 7–25% of uterine sarcomas and < 1% of uterine tumors. Previously reported sites include the ovary, bowel wall, abdomen, peritoneum, pelvis, and vagina; however, ESS in the extrauterine area is rare. We report a rare case of endometrial stromal sarcoma that developed in the sigmoid colon along the gonadal vasculature, which was difficult to distinguish from colon cancer. A large polyp was found in the sigmoid colon of a 74-year-old woman during a routine medical examination and was diagnosed as tubular adenoma. On colonoscopy 7 months later, the tumor had grown and blocked the lumen, causing stenosis. She was referred to our hospital for surgery. Although detailed examination at our hospital did not yield a definitive diagnosis, bowel obstruction was considered likely and we performed laparoscopic low anterior resection under a preoperative diagnosis of sigmoid colon cancer. The tumor protruded into the sigmoid colon from the stump of the ovarian arteries and veins outside the intestinal tract. As the left ovarian artery and vein were involved in the tumor, we extracted them as a lump. The tumor was diagnosed as low-grade ESS (LG-ESS). She had a history of hysterectomy and left salpingo-oophorectomy for uterine myoma 25 years ago, and radiation therapy was performed after surgery for an unknown reason. The postoperative course was uneventful, and follow-up was continued at the request of the patient. We report a rare case of ESS infiltrating the sigmoid colon, which was probably a lesion derived from endometriosis of the ovarian arteriovenous stump remaining after surgery 25 years ago.</description><subject>Abdomen</subject><subject>Antigens</subject><subject>Arteries</subject><subject>Biopsy</subject><subject>Cancer therapies</subject><subject>Case Report</subject><subject>Case reports</subject><subject>Colon cancer</subject><subject>Colonoscopy</subject><subject>Colorectal cancer</subject><subject>Cysts</subject><subject>Diagnosis</subject><subject>Endocrine therapy</subject><subject>Endometriosis</subject><subject>Endometrium</subject><subject>Fibroids</subject><subject>Hysterectomy</subject><subject>Intestine</subject><subject>Laparoscopy</subject><subject>Literature reviews</subject><subject>Lymphatic system</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Oncology</subject><subject>Oophorectomy</subject><subject>Ovariectomy</subject><subject>Ovaries</subject><subject>Patients</subject><subject>Pelvis</subject><subject>Peritoneum</subject><subject>Polyps</subject><subject>Radiation therapy</subject><subject>Rectum</subject><subject>Sarcoma</subject><subject>Small intestine</subject><subject>Stenosis</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><subject>Tomography</subject><subject>Tumors</subject><subject>Uterine cancer</subject><subject>Uterus</subject><subject>Vagina</subject><subject>Veins & arteries</subject><issn>2192-3183</issn><issn>2192-3183</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9UctOwzAQtBCIVqU_wMkS54BfcRIOSKgqD6kSF3q2HMdpXSVxsZ0i-vW4pOJx4bCa1e7M7EoDwCVG1xih7MZjygucIBILsYIm-xMwJrggCcU5Pf3Vj8DU-w1CiEQeyvk5GFGW8qxgeAyW866yrQ7OyAb64Gx7QOlUbKCtYVhr6M2qtaaCyja2u4USKuk1dHprXYCyq2BjgnYy9O4w3Rn9fgHOatl4PT3iBCwf5q-zp2Tx8vg8u18kihIaEpLKomJljXhF4ksp1hynVa1JVlOeI8xUUaZUcVpqqWXFFE9ZTSjiUZfmeUkn4G7w3fZlqyulu-BkI7bOtNJ9CCuN-LvpzFqs7E7kjGCWo2hwdTRw9q3XPoiN7V0XfxakIIgQnjEaWWRgKWe9d7r-voCROKQhhjRETEN8pSH2UUQHkY_kbqXdj_U_qk_GFozy</recordid><startdate>20211001</startdate><enddate>20211001</enddate><creator>Tajiri, Takuya</creator><creator>Mima, Kosuke</creator><creator>Kanemitsu, Kosuke</creator><creator>Takematsu, Toru</creator><creator>Kosumi, Keisuke</creator><creator>Inoue, Mitsuhiro</creator><creator>Mizumoto, Takao</creator><creator>Kubota, Tatsuo</creator><creator>Muto, Reiji</creator><creator>Murayama, Toshihiko</creator><creator>Miyanari, Nobutomo</creator><creator>Baba, Hideo</creator><general>Springer Singapore</general><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-6758-4253</orcidid></search><sort><creationdate>20211001</creationdate><title>Endometrial stromal sarcoma of the sigmoid colon: a case report and literature review</title><author>Tajiri, Takuya ; Mima, Kosuke ; Kanemitsu, Kosuke ; Takematsu, Toru ; Kosumi, Keisuke ; Inoue, Mitsuhiro ; Mizumoto, Takao ; Kubota, Tatsuo ; Muto, Reiji ; Murayama, Toshihiko ; Miyanari, Nobutomo ; Baba, Hideo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c323t-25a9d4bf06d234551e615dfe27f368014c9b53c63beaead4c654f23065a9588b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Abdomen</topic><topic>Antigens</topic><topic>Arteries</topic><topic>Biopsy</topic><topic>Cancer therapies</topic><topic>Case Report</topic><topic>Case reports</topic><topic>Colon cancer</topic><topic>Colonoscopy</topic><topic>Colorectal cancer</topic><topic>Cysts</topic><topic>Diagnosis</topic><topic>Endocrine therapy</topic><topic>Endometriosis</topic><topic>Endometrium</topic><topic>Fibroids</topic><topic>Hysterectomy</topic><topic>Intestine</topic><topic>Laparoscopy</topic><topic>Literature reviews</topic><topic>Lymphatic system</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Oncology</topic><topic>Oophorectomy</topic><topic>Ovariectomy</topic><topic>Ovaries</topic><topic>Patients</topic><topic>Pelvis</topic><topic>Peritoneum</topic><topic>Polyps</topic><topic>Radiation therapy</topic><topic>Rectum</topic><topic>Sarcoma</topic><topic>Small intestine</topic><topic>Stenosis</topic><topic>Surgery</topic><topic>Surgical Oncology</topic><topic>Tomography</topic><topic>Tumors</topic><topic>Uterine cancer</topic><topic>Uterus</topic><topic>Vagina</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tajiri, Takuya</creatorcontrib><creatorcontrib>Mima, Kosuke</creatorcontrib><creatorcontrib>Kanemitsu, Kosuke</creatorcontrib><creatorcontrib>Takematsu, Toru</creatorcontrib><creatorcontrib>Kosumi, Keisuke</creatorcontrib><creatorcontrib>Inoue, Mitsuhiro</creatorcontrib><creatorcontrib>Mizumoto, Takao</creatorcontrib><creatorcontrib>Kubota, Tatsuo</creatorcontrib><creatorcontrib>Muto, Reiji</creatorcontrib><creatorcontrib>Murayama, Toshihiko</creatorcontrib><creatorcontrib>Miyanari, Nobutomo</creatorcontrib><creatorcontrib>Baba, Hideo</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biological Sciences</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International cancer conference journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tajiri, Takuya</au><au>Mima, Kosuke</au><au>Kanemitsu, Kosuke</au><au>Takematsu, Toru</au><au>Kosumi, Keisuke</au><au>Inoue, Mitsuhiro</au><au>Mizumoto, Takao</au><au>Kubota, Tatsuo</au><au>Muto, Reiji</au><au>Murayama, Toshihiko</au><au>Miyanari, Nobutomo</au><au>Baba, Hideo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endometrial stromal sarcoma of the sigmoid colon: a case report and literature review</atitle><jtitle>International cancer conference journal</jtitle><stitle>Int Canc Conf J</stitle><date>2021-10-01</date><risdate>2021</risdate><volume>10</volume><issue>4</issue><spage>294</spage><epage>299</epage><pages>294-299</pages><issn>2192-3183</issn><eissn>2192-3183</eissn><abstract>Endometrial stromal sarcoma (ESS) is a rare mesenchymal tumor of the uterus that accounts for 7–25% of uterine sarcomas and < 1% of uterine tumors. Previously reported sites include the ovary, bowel wall, abdomen, peritoneum, pelvis, and vagina; however, ESS in the extrauterine area is rare. We report a rare case of endometrial stromal sarcoma that developed in the sigmoid colon along the gonadal vasculature, which was difficult to distinguish from colon cancer. A large polyp was found in the sigmoid colon of a 74-year-old woman during a routine medical examination and was diagnosed as tubular adenoma. On colonoscopy 7 months later, the tumor had grown and blocked the lumen, causing stenosis. She was referred to our hospital for surgery. Although detailed examination at our hospital did not yield a definitive diagnosis, bowel obstruction was considered likely and we performed laparoscopic low anterior resection under a preoperative diagnosis of sigmoid colon cancer. The tumor protruded into the sigmoid colon from the stump of the ovarian arteries and veins outside the intestinal tract. As the left ovarian artery and vein were involved in the tumor, we extracted them as a lump. The tumor was diagnosed as low-grade ESS (LG-ESS). She had a history of hysterectomy and left salpingo-oophorectomy for uterine myoma 25 years ago, and radiation therapy was performed after surgery for an unknown reason. The postoperative course was uneventful, and follow-up was continued at the request of the patient. We report a rare case of ESS infiltrating the sigmoid colon, which was probably a lesion derived from endometriosis of the ovarian arteriovenous stump remaining after surgery 25 years ago.</abstract><cop>Singapore</cop><pub>Springer Singapore</pub><pmid>34567941</pmid><doi>10.1007/s13691-021-00493-z</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-6758-4253</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | International cancer conference journal, 2021-10, Vol.10 (4), p.294-299 |
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| subjects | Abdomen Antigens Arteries Biopsy Cancer therapies Case Report Case reports Colon cancer Colonoscopy Colorectal cancer Cysts Diagnosis Endocrine therapy Endometriosis Endometrium Fibroids Hysterectomy Intestine Laparoscopy Literature reviews Lymphatic system Medicine Medicine & Public Health Oncology Oophorectomy Ovariectomy Ovaries Patients Pelvis Peritoneum Polyps Radiation therapy Rectum Sarcoma Small intestine Stenosis Surgery Surgical Oncology Tomography Tumors Uterine cancer Uterus Vagina Veins & arteries |
| title | Endometrial stromal sarcoma of the sigmoid colon: a case report and literature review |
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