Okan KUZHAN, Hiiseyin BALOĞLU, Fatih AĞALAR, Fatih GÜÇER, Kezban BERBEROĞLU

KOLOREKTAL KANSER SEYRİ SIRASINDA İKİNCİ PRİMER OLARAK GELİŞEN ENDOMETRİAL STROMAL SARKOMA OLGUSU: LİTERATÜRÜN GÖZDEN GEÇİRİLMESİ

Literatürde kolorektal kanser seyri sırasında ilk defa saptanan endometrial stromal sarkom olgusunu sunuyoruz. Olgumuzda kolon kanseri metastazı ve ikinci primer arasında ayırım yapabilmek çok önemliydi, çünkü prognoz bilgileri ve tedavi yöntemleri tamamen değişmekteydi. Metastatik kanserin şifa olmayacağı önyargısı, çoğu zaman ikinci pirimer çalışmalarının yapılmasını ve hastaların doğru tedavilere ulaşmasını engellemektedir. Bu nedenle özellikle alışılmadık metastaz tablolarında ikinci primer araştırmaları mutlaka yapılmalı ve karar verilene kadar ısrarla tekrarlanmalıdır

Endometrial Stromal Sarcoma as a Second Primary in a Patient with Colorectal Carcinoma: Review of the Literature

We are presenting here the first case of second primary endometrial stromal sarcoma in a patient with colorectal carcinoma and reviewed the literatur regarding metastasis patterns in colorectal carcinomas and the managment of endometrial stromal sarcomas. The differential diagnosis of colon cancer metastasis and second primary was of great importance in our case because the management and prognosis would differ fundamentally. The presumption that metastatic cancers are incureable, precludes the workup for detection of secondary cancers in most cases. This may hinder the proper treatment of patients. That is why the detection of secondary cancers should be strongly encouraged especially in cases with an unexpected metastasis pattern

Keywords:

colorectal cancer, endometrial stromal sarcoma, second primary,

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