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Current Medical Imaging

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ISSN (Print): 1573-4056
ISSN (Online): 1875-6603

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Case Report

A Rare Case of Extrauterine Endometrial Stromal Sarcoma Arising from Deep Pelvic Endometriosis: Role of Multidisciplinary Team Meeting

Author(s): Xueying Long, Yigang Pei, Ismail Bilal Masokano, Xin Zhu, Wei Lin, Siting He and Hui Liu*

Volume 19, Issue 4, 2023

Published on: 27 August, 2022

Article ID: e150622206052 Pages: 7

DOI: 10.2174/1573405618666220615161300

Price: $65

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Abstract

Introduction: Extrauterine endometrial stromal sarcoma (EESS) arising from Deep pelvic endometriosis (DPE) has a poor life quality and is difficult to diagnose pre-operatively. However, the patient’s quality of life can be improved when it is diagnosed precisely and managed successfully.

Case Report: A 35-year-old woman presented to our hospital with a 3-month history of hematochezia and anal pain. Initially, she was misdiagnosed as a rectal stromal tumor and then precisely diagnosed as having EESS from DPE following several multidisciplinary team (MDT) meetings. The lesion was shrunk by gonadotrophin-releasing hormone agonist (GnRH-α) treatment and then resected with minimal trauma.

Conclusion: MDT is crucial in the treatment of the patient. It can promote individualized treatment and improve patient’s quality of life.

Keywords: MDT, EESS arising from DPE, MRI, Diagnosis, Treatment, computed tomography

Graphical Abstract

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