Case Report

Endometrial Stromal Sarcoma Arising in Colorectal Endometriosis: A Case Report and Review of the Literature

Table 1

The clinical characteristics, managements, and outcomes of cases reported as colorectal ESS arising in endometriosis.

Author, yearAge (year)Race Parity Symptoms History of gynecologic surgery History of endometriosisHistory of hormone therapySite of massHistopathologic typeMetastasis Management Follow-up, months

Baiocchi et al., 1990 [6]38Caucasian 0Abdominal pain and pressureTAH, BSOYes YesColonLow-grade ESSMesentery and pelvisTR, CT, HTNED, 16
Yantiss et al., 2000 [7]63Caucasian NAChange in bowel habitsNANo No Rectum Low-grade ESSNATR, RTNED, 60
Bosincu et al., 2001 [8]42Caucasian NAAbdominal pain and feverNAYesNo Rectum Low-grade ESSOmentum and pelvisTAH, BSO, TR, CTNED, 20
Mourra et al., 2001 [1]61Caucasian 1Abdominal painNANo Yes Rectum Low-grade ESSNo TRNED, 30
Cho et al., 2002 [9]48Asian NADifficult defecation and tenesmusTAH, BSOYesNARectosigmoid colonLow-grade ESSMesentery and urinary tractTRNED, 4
Chen et al., 2007 [10]42Asian MultipleDifficult defecation and rectal bleedingNoNoNo Rectosigmoid colonLow-grade ESSOmentum and left ovaryTAH, BSO, TR, RTNED, 12
Roşca et al., 2011 [11]51CaucasianNAPelvic painNAYesNo Rectosigmoid colonLow-grade ESSNANANA
Present40Asian2Change in bowel habits and rectal bleedingTAHNoNoRectumLow-grade ESSMesentery and extensive intra-abdominal metastasesPalliative surgeryDOD, 18

TR: tumor resection; CT: chemotherapy; RT: radiotherapy; HT: hormone therapy; TAH: total abdominal hysterectomy; BSO: bilateral salpingooophorectomy; NED: no evidence of disease; DOD: dead of disease; NA: not available.