A Case Report of Endometrial Cancer Metastatic to the Sigmoid Colon

Jala Qawasmeh, Maysa A-Hussaini, Faiez Daoud and Imad Jaradat

Department of Radiation Oncology, King Hussein Cancer Center, Jordan Department of Pathology, King Hussein Cancer Center, Jordan Department of Surgical Oncology, King Hussein Cancer Center, Jordan

^*Correspondance to: Imad Jaradat 

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Abstract:

Background: Metastatic endometrial cancer to the sigmoid colon is quite rare. We present a case of metastatic endometrial cancer with metastases to the sigmoid colon five years after surgical treatment of early stage endometrial cancer. Method: This article is a description of one case story. Results: A case of a postmenopausal woman with a moderately differentiated endometrial endometrioid adenocarcinoma is presented. Status post-surgery involved total abdominal hysterectomy and bilateral salpingo-oophorectomy outside King Hussein Cancer Center (KHCC); she refused any adjuvant therapy. Six year later, she developed distant metastasis to sigmoid colon for which she underwent partial colectomy and lymph node dissection. Histopathology showed: Metastatic High Grade Carcinoma Consistent with Recurrent Clear Cell Endometrial Carcinoma, 0 out of 22 lymph nodes, free resection margins. Again, she refused adjuvant chemotherapy. The last visit was on 20, January 2019 the patient still alive and free of disease. Conclusion: The case presented here indicates that patients without adjuvant treatment in the form of radiotherapy or chemotherapy for moderate or high-grade endometrial carcinoma may survive for a long time. Our patient lived longer than the expected high histology type, but our clinical case clinical scenario should never be used as a pretext for not treating these patients with adjuvant therapy

Keywords:

Uterus; Metastatic endometrial cancer; Secondary colon cancer; Immunohistochemistry

Cite the Article:

Qawasmeh J, A-Hussaini M, Daoud F, Jaradat I. A Case Report of Endometrial Cancer Metastatic to the Sigmoid Colon. Clin Case Rep Int. 2019;3:1120.