Clin Case Rep Int | Volume 3, Issue 1 | Case Report | Open Access

A Case Report of Endometrial Cancer Metastatic to the Sigmoid Colon

Jala Qawasmeh1, Maysa A-Hussaini2, Faiez Daoud3 and Imad Jaradat1*

1Department of Radiation Oncology, King Hussein Cancer Center, Jordan 2Department of Pathology, King Hussein Cancer Center, Jordan 3Department of Surgical Oncology, King Hussein Cancer Center, Jordan

*Correspondance to: Imad Jaradat 

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Background: Metastatic endometrial cancer to the sigmoid colon is quite rare. We present a case of metastatic endometrial cancer with metastases to the sigmoid colon five years after surgical treatment of early stage endometrial cancer. Method: This article is a description of one case story. Results: A case of a postmenopausal woman with a moderately differentiated endometrial endometrioid adenocarcinoma is presented. Status post-surgery involved total abdominal hysterectomy and bilateral salpingo-oophorectomy outside King Hussein Cancer Center (KHCC); she refused any adjuvant therapy. Six year later, she developed distant metastasis to sigmoid colon for which she underwent partial colectomy and lymph node dissection. Histopathology showed: Metastatic High Grade Carcinoma Consistent with Recurrent Clear Cell Endometrial Carcinoma, 0 out of 22 lymph nodes, free resection margins. Again, she refused adjuvant chemotherapy. The last visit was on 20, January 2019 the patient still alive and free of disease. Conclusion: The case presented here indicates that patients without adjuvant treatment in the form of radiotherapy or chemotherapy for moderate or high-grade endometrial carcinoma may survive for a long time. Our patient lived longer than the expected high histology type, but our clinical case clinical scenario should never be used as a pretext for not treating these patients with adjuvant therapy


Uterus; Metastatic endometrial cancer; Secondary colon cancer; Immunohistochemistry


Qawasmeh J, A-Hussaini M, Daoud F, Jaradat I. A Case Report of Endometrial Cancer Metastatic to the Sigmoid Colon. Clin Case Rep Int. 2019;3:1120.

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