Recurrence of Endometrial Stromal Sarcoma 10 years post-Hysterectomy.

Lee, Jeong Weon; Ryou, Hyoun Ho; Park, Mi Ok; Shin, Yang Ho; Jeong, Jong Gill; Jeong, Woo Gill

Case Report

Korean Journal of Obstetrics & Gynecology 2002;45(3):524-528.
Published online March 1, 2002.

Recurrence of Endometrial Stromal Sarcoma 10 years post-Hysterectomy.

Jeong Weon Lee, Hyoun Ho Ryou, Mi Ok Park, Yang Ho Shin, Jong Gill Jeong, Woo Gill Jeong

Department of Obstetrics and Gynecology, Surgery, Pathology, Chonnam Hospital, Yosu, Korea.

Abstract

A 61-year old female presented with intermittent abdominal pain. Further examination showed an pelvic mass, partially obstructing the sigmoid colon. A search of the past medical records revealed that a primary low-grade ESS of the uterus had been treated with total abdominal hysterectomy and bilateral salpingo-oophorectomy 10 years earlier. Surgical resection was performed under suspicion of recurrent ESS and subsequent pathologic examination of the tumor mass specimen established the recurrent LGSS and free resection margin. Then she has been treated with megestrol acetate and doing well for about 1 year since the surgical resection of the pelvic mass.

Key Words: low-grade endometrial stromal sarcoma, local recurrence, surgical resection