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Obstructing Colonic Mass: A Case of Recurrent Endometrial Cancer.

Chedid V, Arasoghli M, Hashash JG - Case Rep Gastrointest Med (2015)

Bottom Line: 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.

View Article: PubMed Central - PubMed

Affiliation: Division of Gastroenterology, Hepatology, and Nutrition, University of Pittsburgh, Pittsburgh, PA 15213, USA.

ABSTRACT
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.

No MeSH data available.


Related in: MedlinePlus

(a) CT scan revealing a 6 cm pelvic mass. (b) Colonoscopy revealing a 5 cm long stenosis in the sigmoid colon starting at 15 cm from the anal verge. (c) Colonoscopy with closer view of stenosis, which was not ulcerated but had a bluish/purplish hue to it.
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fig1: (a) CT scan revealing a 6 cm pelvic mass. (b) Colonoscopy revealing a 5 cm long stenosis in the sigmoid colon starting at 15 cm from the anal verge. (c) Colonoscopy with closer view of stenosis, which was not ulcerated but had a bluish/purplish hue to it.

Mentions: A CT scan was performed and showed a 6 cm pelvic mass in the left lower quadrant (Figure 1(a)). It was unclear if this mass was arising from the sigmoid colon or abutting it. A colonoscopy was pursued to further evaluate the patient's symptoms and investigate the radiographic findings. There was a moderate stenotic area measuring 5 cm in length in the sigmoid colon starting at 15 cm from the anal verge. This area was easily traversed with an adult colonoscope. The stenosis was not ulcerated but had a bluish/purplish hue to it circumferentially (Figures 1(b) and 1(c)) suspicious for malignant infiltration or extrinsic compression. Multiple biopsies were obtained from that area and these revealed architectural changes with mild fibrosis but no malignancy. The patient subsequently underwent a CT-guided fine needle aspiration of this 6 cm pelvic mass. The cytology results were positive for cytokeratin-7, CA-125, estrogen receptor protein, and PAX-8, confirming that this mass was indeed endometrial in origin. This pelvis mass was abutting the sigmoid colon causing external compression as characterized by the endoscopic stricture and discoloration described above.


Obstructing Colonic Mass: A Case of Recurrent Endometrial Cancer.

Chedid V, Arasoghli M, Hashash JG - Case Rep Gastrointest Med (2015)

(a) CT scan revealing a 6 cm pelvic mass. (b) Colonoscopy revealing a 5 cm long stenosis in the sigmoid colon starting at 15 cm from the anal verge. (c) Colonoscopy with closer view of stenosis, which was not ulcerated but had a bluish/purplish hue to it.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4495181&req=5

fig1: (a) CT scan revealing a 6 cm pelvic mass. (b) Colonoscopy revealing a 5 cm long stenosis in the sigmoid colon starting at 15 cm from the anal verge. (c) Colonoscopy with closer view of stenosis, which was not ulcerated but had a bluish/purplish hue to it.
Mentions: A CT scan was performed and showed a 6 cm pelvic mass in the left lower quadrant (Figure 1(a)). It was unclear if this mass was arising from the sigmoid colon or abutting it. A colonoscopy was pursued to further evaluate the patient's symptoms and investigate the radiographic findings. There was a moderate stenotic area measuring 5 cm in length in the sigmoid colon starting at 15 cm from the anal verge. This area was easily traversed with an adult colonoscope. The stenosis was not ulcerated but had a bluish/purplish hue to it circumferentially (Figures 1(b) and 1(c)) suspicious for malignant infiltration or extrinsic compression. Multiple biopsies were obtained from that area and these revealed architectural changes with mild fibrosis but no malignancy. The patient subsequently underwent a CT-guided fine needle aspiration of this 6 cm pelvic mass. The cytology results were positive for cytokeratin-7, CA-125, estrogen receptor protein, and PAX-8, confirming that this mass was indeed endometrial in origin. This pelvis mass was abutting the sigmoid colon causing external compression as characterized by the endoscopic stricture and discoloration described above.

Bottom Line: 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.

View Article: PubMed Central - PubMed

Affiliation: Division of Gastroenterology, Hepatology, and Nutrition, University of Pittsburgh, Pittsburgh, PA 15213, USA.

ABSTRACT
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.

No MeSH data available.


Related in: MedlinePlus