Distant recurrence of endometrial cancer more than 10 years after hysterectomy: a case report

Author:

Khoo Boom Ping1,Chew Kah Teik2,Hing Erica Yee3,Kampan Nirmala2,Shafiee Mohamad Nasir2

Affiliation:

1. Department of Obstetrics and Gynaecology , General Hospital Kuala Lumpur , Kuala Lumpur , Malaysia

2. Department of Obstetrics and Gynaecology , Universiti Kebangsaan Malaysia Medical Centre , Kuala Lumpur , Malaysia

3. Department of Radiology , Universiti Kebangsaan Malaysia Medical Centre , Kuala Lumpur , Malaysia

Abstract

Abstract Objectives Endometrial cancer is the sixth most common cancer among women and recurrence of after 10 years is extremely rare. Case presentation We reported a comprehensive review of histopathology, investigations and treatment regarding a woman with distant recurrence of endometrial cancer to rectus abdominis muscle after 23 years from the primary surgery. Previous published literatures of similar case were included into the review analysis. A total of 11 similar cases had been reported. Overall, 9 (81.8%) cases were stage 1 disease and only 2 cases were classified as stage II disease. The majority, 6 (54.5%) cases were endometrial adenocarcinoma. Majority of the cases shared the similarity of low grade endometrial cancer with positive oestrogen receptor immunophynetype. Conclusions Thus, the phenomenon of ‘cell dormancy’ was hypothesized to explain the mechanism of late recurrence for these cases.

Publisher

Walter de Gruyter GmbH

Subject

Endocrinology,Molecular Biology,General Medicine,Endocrinology, Diabetes and Metabolism

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