{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T01:08:45Z","timestamp":1790125725976,"version":"4.0.1"},"reference-count":30,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T00:00:00Z","timestamp":1789257600000},"content-version":"vor","delay-in-days":12,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Recurrence of early\u2010stage endometrial cancer (EC) most commonly occurs within 5\u2009years after initial surgery, and ultra\u2010late recurrence more than 10\u2009years after treatment is extremely rare. Bone metastasis from EC is also relatively uncommon. We report a case of Stage IA EC with sacral metastasis occurring 13\u2009years after curative surgery. The patient is a 48\u2010year\u2010old woman who underwent radical hysterectomy for EC 13\u2009years ago. She completed 5\u2009years of follow\u2010up with no recurrence. She was referred to our hospital because of a sacral tumor accompanied by pain and bladder and bowel dysfunction. A biopsy confirmed sacral metastasis from EC. Radiotherapy and chemotherapy resulted in improvement of neurological symptoms and tumor regression. This case highlights the potential efficacy of multidisciplinary treatment for not only the tumor but also neurological symptoms.<\/jats:p>","DOI":"10.1111\/jog.70493","type":"journal-article","created":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T05:27:49Z","timestamp":1789363669000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Sacrum Metastasis in Stage\n                    <scp>IA<\/scp>\n                    Endometrial Carcinoma 13\u2009Years After Surgery: A Case Report"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-5870-4051","authenticated-orcid":false,"given":"Kei","family":"Hattori","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Ogaki Municipal Hospital  Gifu Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuta","family":"Kobayashi","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Ogaki Municipal Hospital  Gifu Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mayu","family":"Shibata","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Ogaki Municipal Hospital  Gifu Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-0298-9748","authenticated-orcid":false,"given":"Masataka","family":"Nomoto","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Ogaki Municipal Hospital  Gifu Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshimitsu","family":"Furui","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Ogaki Municipal Hospital  Gifu Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0226-6008","authenticated-orcid":false,"given":"Yosuke","family":"Kawai","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Ogaki Municipal Hospital  Gifu Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,13]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1159\/000328076"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/IGC.0000000000000984"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2010.01.047"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1102\/1470-7330.2013.0011"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2013.05.010"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.7150\/jca.1.80"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2022.11.012"},{"issue":"2","key":"e_1_2_11_9_1","first-page":"144","article-title":"Untreated Endometrial Adenocarcinoma: A Case Report","volume":"18","author":"ArmentanoG B. 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