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구불결장의 종괴로 나타난 자궁내막버팀질육종

Low-grade Endometrial Stromal Sarcoma Presenting as a Sigmoid Mass

대한소화기학회지 2020년 76권 6호 p.322 ~ 326
안소라, 이주현,
소속 상세정보
안소라 ( Ahn So-Ra ) - Wonkwang University Hospital Department of Surgery
이주현 ( Lee Joo-Hyun ) - Wonkwang University Hospital Department of Surgery

Abstract


Low-grade endometrial stromal sarcoma (LG-ESS) is a very rare mesenchymal neoplasm of the uterus. LG-ESS can recur or metastasize to extrauterine sites, such as the pelvis, peritoneal cavity, and vagina, but rarely to the lung, liver, heart, bone, and colon. A 42-year-old female patient was transferred from an outside clinic for an evaluation of constipation. EUS revealed a 5 cm hypoechoic lesion with a regular margin, probably arising from the 4th layer (muscular propria) at the sigmoid colon level. CT revealed a 7-cm homogenous enhancing mass lesion at the pelvic cavity and multiple enlarged lymph nodes in the sigmoid mesocolon. The patient underwent an anterior resection, and the diagnosis based on the biopsy result was LG-ESS. After a multidisciplinary discussion, she underwent a bilateral salpingo-oophorectomy. Small nodules found in the endometrium were identified as LG-ESS by a biopsy. This paper reports a case of metastatic LG-ESS presenting as a solitary sigmoid tumor without intrauterine lesions through preoperative examinations and discusses the characteristics of this neoplasm with reference to the relevant literature.

키워드

Sarcoma, endometrial stromal; Sarcoma; Neoplasm metastasis; Colon

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