A case of a recurrent low-grade endometrial stromal sarcoma extending to the inferior vena cava (IVC) after the primary fertility-sparing surgery

Yano, Yoko; Yamasaki, Yui; Yamanaka, Keitaro; Nishimoto, Masashi; Nagamata, Satoshi; Terai, Yoshito

https://hdl.handle.net/20.500.14094/0100485152

このアイテムのアクセス数:101件（2025-05-21 15:24 集計）

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メタデータID	0100485152
アクセス権	open access
出版タイプ	Version of Record
タイトル	A case of a recurrent low-grade endometrial stromal sarcoma extending to the inferior vena cava (IVC) after the primary fertility-sparing surgery
著者	Yano, Yoko ; Yamasaki, Yui ; Yamanaka, Keitaro ; Nishimoto, Masashi ; Nagamata, Satoshi ; Terai, Yoshito
著者名 Yano, Yoko
著者ID A2848 研究者ID 1000040895265 KUID https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=3e07e48170644619520e17560c007669 著者名 Yamasaki, Yui 山崎, 友維ヤマサキ, ユイ所属機関名医学研究科
著者名 Yamanaka, Keitaro
著者ID A3118 研究者ID 1000020943591 KUID https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=645e3d50a9b6ab62520e17560c007669 著者名 Nishimoto, Masashi 西本, 昌司ニシモト, マサシ所属機関名医学部附属病院
著者ID A2160 研究者ID 1000050816642 KUID https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=50755f8c3d0b05df520e17560c007669 著者名 Nagamata, Satoshi 長又, 哲史ナガマタ, サトシ所属機関名医学研究科
著者ID A2519 研究者ID 1000090278531 KUID https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail?systemId=e6b93f8aa70c4ebd520e17560c007669 著者名 Terai, Yoshito 寺井, 義人テライ, ヨシト所属機関名医学部附属病院
言語	English (英語)
収録物名	International Journal of Surgery Case Reports
巻(号)	111
ページ	108857
出版者	Elsevier
刊行日	2023-10
公開日	2023-10-31
抄録	Introduction and importance: A case of Low-grade endometrial stromal sarcoma (LG-ESS) invading the great vessels is rare. Case presentation: A 34-year-old female who had no past history presented to a previous hospital with abdominal distension. Magnetic resonance imaging revealed a 15 cm pelvic mass beside the uterus, and only the pelvic mass was removed at the surgery. The tumor was judged to be a LG-ESS. The patient chose to be observed to preserve her fertility, and no adjuvant treatment was undertaken. Two years later, she was referred to our hospital due to recurrence of the pelvic mass. Enhanced computed tomography revealed a large tumor in the vena cava which extended from the left internal iliac vein and which originated from the pelvic tumor. An operation was performed by a multidisciplinary team. Complete resection of the tumor was achieved with a radical hysterectomy, bilateral salpingo-oophorectomy, removal of recurrent pelvic masses and the intravascular tumor. We diagnosed a recurrence of LG-ESS. She received a postoperative adjuvant therapy of LG-ESS. Clinical discussion: Patients with fertility-sparing treatment had higher recurrence rates. In cases of tumor intravenous extension, we should make every effort to extract the tumor to avoid sudden death. Conclusion: This case highlights the importance of a multidisciplinary approach in treating this rare tumor with intravascular extension. In particular, patients with LG-ESS who receive fertility-sparing surgery should undertake postoperative chemotherapy or radiotherapy in order to reduce the risk of recurrence, as was in this case.
キーワード	Intravenous leiomyomatosis
	Low-grade endometrial stromal sarcoma
	Fertility-sparing treatment
	Intravascular extension
	LG-ESS
カテゴリ	医学研究科
	医学部附属病院
	学術雑誌論文
権利	© 2023 The Authors. Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd.
権利	This is an open access article under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International license
関連情報	DOI https://doi.org/10.1016/j.ijscr.2023.108857

資源タイプ	journal article
eISSN	2210-2612　OPACで所蔵を検索　 CiNiiで学外所蔵を検索

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