Ramia JM, De la Plaza R, Garcia I, Perna C, Veguillas P, García-Parreño J. Liver metastasis of endometrial stromal sarcoma. World J Hepatol 2012; 4(12): 415-418 [PMID: 23355923 DOI: 10.4254/wjh.v4.i12.415]
Corresponding Author of This Article
Jose M Ramia, MD, PhD, Department of Surgery, Hepatopancreatobiliary Surgical Unit, Hospital Universitario de Guadalajara, C/General Moscardó 26, 5-1, Guadalajara, 28020 Madrid, Spain. jose_ramia@hotmail.com
Article-Type of This Article
Case Report
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World J Hepatol. Dec 27, 2012; 4(12): 415-418 Published online Dec 27, 2012. doi: 10.4254/wjh.v4.i12.415
Liver metastasis of endometrial stromal sarcoma
Jose M Ramia, Roberto De la Plaza, Ines Garcia, Cristian Perna, Pilar Veguillas, Jorge García-Parreño
Jose M Ramia, Roberto De la Plaza, Pilar Veguillas, Jorge García-Parreño, Department of Surgery, Hepatopancreatobiliary Surgical Unit, Hospital Universitario de Guadalajara, Guadalajara, 28020 Madrid, Spain
Ines Garcia, Department of Oncology, Hospital Universitario de Guadalajara, Guadalajara, 28020 Madrid, Spain
Cristian Perna, Department of Pathology, Hospital Universitario de Guadalajara, Guadalajara, 28020 Madrid, Spain
Author contributions: Ramia JM, De la Plaza R and Perna C wrote the manuscript; Garcia I, Veguillas P and García-Parreño J review the manuscript.
Correspondence to: Jose M Ramia, MD, PhD, Department of Surgery, Hepatopancreatobiliary Surgical Unit, Hospital Universitario de Guadalajara, C/General Moscardó 26, 5-1, Guadalajara, 28020 Madrid, Spain. jose_ramia@hotmail.com
Telephone: +34-61-6292056 Fax: +34-94-9209218
Received: September 16, 2011 Revised: November 7, 2011 Accepted: November 14, 2012 Published online: December 27, 2012
Abstract
Resection of liver metastases from gynaecological tumours is uncommon. Endometrial stromal sarcomas (ESS) are low incidence gynecological tumours which can originate in previous sites of endometriosis or following metaplasia of the pelvic peritoneal wall, and which are exceptionally associated with liver metastasis. We present a 68-year-old woman with a ESS and metachronic liver metastasis treated by liver resection. There is very little literature on clinical management about liver metastasis from ESS, but extrapolating the data obtained with liver metastasis from sarcomas and uterine tumours, we should recommend resection as this is considered a resectable extrauterine metastasis. In cases with more sites of extrauterine disease, liver resection should also be performed if the other sites are resectable.
