KOLOREKTAL KANSER SEYRİ SIRASINDA İKİNCİ PRİMER OLARAK GELİŞEN ENDOMETRİAL STROMAL SARKOMA OLGUSU: LİTERATÜRÜN GÖZDEN GEÇİRİLMESİ
Year 2015,
Issue: 3, 168 - 170, 01.09.2015
Okan Kuzhan
Hiiseyin Baloğlu
Fatih Ağalar
Fatih Güçer
Kezban Berberoğlu
Abstract
Literatürde kolorektal kanser seyri sırasında ilk defa saptanan endometrial stromal sarkom olgusunu sunuyoruz. Olgumuzda kolon kanseri metastazı ve ikinci primer arasında ayırım yapabilmek çok önemliydi, çünkü prognoz bilgileri ve tedavi yöntemleri tamamen değişmekteydi. Metastatik kanserin şifa olmayacağı önyargısı, çoğu zaman ikinci pirimer çalışmalarının yapılmasını ve hastaların doğru tedavilere ulaşmasını engellemektedir. Bu nedenle özellikle alışılmadık metastaz tablolarında ikinci primer araştırmaları mutlaka yapılmalı ve karar verilene kadar ısrarla tekrarlanmalıdır
References
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Endometrial Stromal Sarcoma as a Second Primary in a Patient with Colorectal Carcinoma: Review of the Literature
Year 2015,
Issue: 3, 168 - 170, 01.09.2015
Okan Kuzhan
Hiiseyin Baloğlu
Fatih Ağalar
Fatih Güçer
Kezban Berberoğlu
Abstract
We are presenting here the first case of second primary endometrial stromal sarcoma in a patient with colorectal carcinoma and reviewed the literatur regarding metastasis patterns in colorectal carcinomas and the managment of endometrial stromal sarcomas. The differential diagnosis of colon cancer metastasis and second primary was of great importance in our case because the management and prognosis would differ fundamentally. The presumption that metastatic cancers are incureable, precludes the workup for detection of secondary cancers in most cases. This may hinder the proper treatment of patients. That is why the detection of secondary cancers should be strongly encouraged especially in cases with an unexpected metastasis pattern
References
- Cancer statistics, 2005. Jemal A(1), Murray T, Ward E, Samuels A, Tiwari RC, Ghafoor A, Feuer EJ, Thun MJ. CA Cancer J Clin 2005;55:10-30.
- Kose F(1), Sakalli H, Sezer A, Mertsoylu H, Pourbagher A, Reyhan M, Ozyilkan O.Colon adenocarcinoma and solitary tibia metastasis: rare entity. J Gastrointest Cancer 2008;39:146-8. doi: 10.1007/ s12029-009-9055-1.
- Does colon cancer ever metastasize to bone first? a temporal analysis of colorectal cancer progression. Roth ES(1), Fetzer DT, Barron BJ, Joseph UA, Gayed IW, Wan DQ. BMC Cancer 2009;7;9:274. doi: 10.1186/1471-2407-9-274.
- Tavassoli FA, Devilee P. WHO Classification of Pathology and genetics of tumours of the breast and female genital organs. In: Tavassoli FA, Devilee P, editors. Lyon, France: IARC Press 2003. pp. 233–6.
- Ganjoei TA, Behtash N, Shariat M, Low AM. Grade endometrial stromal sarcoma of uterine corpus: A clinicopathological and survey study in 14 cases. World J Surg Oncol 2006;4:50.
- Jin Y, Pan L, Wang X, Dai Z, Huang H, Guo L, et al. Clinical characteristics of endometrial stromal sarcoma from an academic medical hospital in China. Int J Gynecol Cancer 2010;20:1535–9.
- Chu PG, Arber DA, Weiss LM, Chang KL. Utility of CD10 in distinguishing between endometrial stromal sarcoma and uterine smooth muscle tumors: An immunohistochemical comparison of 34 cases. Mod Pathol 2001;14:465–71.
- Leath CA, 3rd, Huh WK, Hyde J, Jr, Cohn DE, Resnick KE, Taylor NP, et al. A multi-institutional review of outcomes of endometrial stromal sarcoma. Gynec Oncol 2007;105:630–4.
- Dupont NC, DiSaia PJ. Recurrent endometrial stromal sarcoma: Treatment with a progestin and gonadotropin releasing hormone agonist. Sarcoma 2010:353679.
- Lin YC, Kudelka AP, Tresukosol D, Malpica A, Carrasco CH, Lawrence DD, et al. Prolonged stabilization of progressive endometrial stromal sarcoma with prolonged oral etoposide therapy. Gynecol Oncol.