Obstructing Colonic Mass: A Case of Recurrent Endometrial Cancer
A 71-year-old female with a history of endometrial cancer presented to our hospital with bilateral lower quadrant abdominal pain, which had been worsening over the past two months. The pain was associated with constipation, pencil-thin stools, and a 60 lb weight loss. On physical examination, the pa...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Gastrointestinal Medicine |
| Online Access: | http://dx.doi.org/10.1155/2015/593786 |
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| author | Victor Chedid Mona Arasoghli Jana G. Hashash |
| author_facet | Victor Chedid Mona Arasoghli Jana G. Hashash |
| author_sort | Victor Chedid |
| collection | DOAJ |
| description | A 71-year-old female with a history of endometrial cancer presented to our hospital with bilateral lower quadrant abdominal pain, which had been worsening over the past two months. The pain was associated with constipation, pencil-thin stools, and a 60 lb weight loss. On physical examination, the patient had suprapubic and left lower quadrant abdominal tenderness. Contrast-enhanced CT scan revealed a 6 cm pelvic mass in the left lower quadrant. It was unclear if this mass was arising from the sigmoid colon or abutting it. A colonoscopy to further investigate the mass was pursued and this revealed a moderate 5 cm long stenosis in the sigmoid colon starting at 15 cm from the anal verge. The stenosis was not ulcerated but had a bluish/purplish hue to it circumferentially. Multiple biopsies were obtained from that area and these revealed architectural changes with mild fibrosis but no malignancy. The mass was further explored with CT-guided fine needle aspiration. The results obtained were positive for cytokeratin-7, CA-125, estrogen receptor protein, and PAX-8 confirming that the mass was endometrial in origin. |
| format | Article |
| id | doaj-art-cefff033dfa04a1fa79486c17b35a33a |
| institution | OA Journals |
| issn | 2090-6528 2090-6536 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Gastrointestinal Medicine |
| spelling | doaj-art-cefff033dfa04a1fa79486c17b35a33a2025-08-20T02:19:30ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362015-01-01201510.1155/2015/593786593786Obstructing Colonic Mass: A Case of Recurrent Endometrial CancerVictor Chedid0Mona Arasoghli1Jana G. Hashash2Division of Gastroenterology, Hepatology, and Nutrition, University of Pittsburgh, Pittsburgh, PA 15213, USADivision of Gastroenterology, Hepatology, and Nutrition, University of Pittsburgh, Pittsburgh, PA 15213, USADivision of Gastroenterology, Hepatology, and Nutrition, University of Pittsburgh, Pittsburgh, PA 15213, USAA 71-year-old female with a history of endometrial cancer presented to our hospital with bilateral lower quadrant abdominal pain, which had been worsening over the past two months. The pain was associated with constipation, pencil-thin stools, and a 60 lb weight loss. On physical examination, the patient had suprapubic and left lower quadrant abdominal tenderness. Contrast-enhanced CT scan revealed a 6 cm pelvic mass in the left lower quadrant. It was unclear if this mass was arising from the sigmoid colon or abutting it. A colonoscopy to further investigate the mass was pursued and this revealed a moderate 5 cm long stenosis in the sigmoid colon starting at 15 cm from the anal verge. The stenosis was not ulcerated but had a bluish/purplish hue to it circumferentially. Multiple biopsies were obtained from that area and these revealed architectural changes with mild fibrosis but no malignancy. The mass was further explored with CT-guided fine needle aspiration. The results obtained were positive for cytokeratin-7, CA-125, estrogen receptor protein, and PAX-8 confirming that the mass was endometrial in origin.http://dx.doi.org/10.1155/2015/593786 |
| spellingShingle | Victor Chedid Mona Arasoghli Jana G. Hashash Obstructing Colonic Mass: A Case of Recurrent Endometrial Cancer Case Reports in Gastrointestinal Medicine |
| title | Obstructing Colonic Mass: A Case of Recurrent Endometrial Cancer |
| title_full | Obstructing Colonic Mass: A Case of Recurrent Endometrial Cancer |
| title_fullStr | Obstructing Colonic Mass: A Case of Recurrent Endometrial Cancer |
| title_full_unstemmed | Obstructing Colonic Mass: A Case of Recurrent Endometrial Cancer |
| title_short | Obstructing Colonic Mass: A Case of Recurrent Endometrial Cancer |
| title_sort | obstructing colonic mass a case of recurrent endometrial cancer |
| url | http://dx.doi.org/10.1155/2015/593786 |
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