title: Recurrent endometrial stromal sarcoma in the cecum causing intussusception.
abstract: BACKGROUND
  Most endometrial stromal sarcomas (ESS) develop recurrent disease at pelvis and lung. Recurrent ESS in the cecum causing intussusception is a rare but emergent phenomenon.
  
  
  METHODS
  After initial surgical treatment in 1997, a 41-year-old female developed recurrent ESS in the cecum causing ileo-colic intussusception in 2008, which were operated with right hemicolectomy. The patient was then treated with progestin for 2 years to date. She has since been disease-free.
  
  
  CONCLUSIONS
  This case report emphasizes the importance of long-term follow-up and initial surgical treatment of ESS and suggests systemic hormonal therapy in case of recurrence.
authors.affiliation: Department of Surgery, Buddhist Tzu Chi General Hospital, Taipei Branch, Taipei, Taiwan.
authors.forename: Chao-Hsu
authors.initials: CH
authors.lastname: Li
authors.forename: Wen-Chun
authors.initials: WC
authors.lastname: Chang
mesh_terms: D000328:Adult; D002430:Cecal Neoplasms / Q000150:complications*; D016889:Endometrial Neoplasms / Q000473:pathology*; D005260:Female; D006801:Humans; D007443:Intussusception / Q000209:etiology*; D012008:Recurrence; D018203:Sarcoma, Endometrial Stromal / Q000150:complications*