{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T04:48:38Z","timestamp":1782535718867,"version":"3.54.5"},"reference-count":28,"publisher":"Japan Surgical Society","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Surg Case Rep"],"published-print":{"date-parts":[[2026]]},"DOI":"10.70352\/scrj.cr.26-0134","type":"journal-article","created":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T22:17:48Z","timestamp":1782339468000},"page":"n\/a","source":"Crossref","is-referenced-by-count":0,"title":["Sigmoid Colon Metastasis from Endometrioid Carcinoma after a Long Disease-Free Interval Following Radiotherapy for Vaginal Recurrence: A Case Report and Review of the Literature"],"prefix":"10.70352","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-9296-7923","authenticated-orcid":false,"given":"Kazuki","family":"Yokoyama","sequence":"first","affiliation":[{"name":"Department of Gastroenterological Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takuya","family":"Miura","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hajime","family":"Morohashi","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akiko","family":"Suto","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuki","family":"Yoshihara","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tadashi","family":"Yoshizawa","sequence":"additional","affiliation":[{"name":"Department of Anatomic Pathology, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shintaro","family":"Goto","sequence":"additional","affiliation":[{"name":"Department of Anatomic Pathology, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daiki","family":"Kasai","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan"},{"name":"Department of Anatomic Pathology, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keinosuke","family":"Ishido","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenichi","family":"Hakamada","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery, Hirosaki University Graduate School of Medicine, Hirosaki, Aomori, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"51119","reference":[{"key":"1","doi-asserted-by":"crossref","unstructured":"1) \u00c5kesson \u00c5, Adok C, Dahm-Kahler P. Recurrence and survival in endometrioid endometrial cancer - a population-based cohort study. Gynecol Oncol 2023; 168: 127\u201334.","DOI":"10.1016\/j.ygyno.2022.11.012"},{"key":"2","doi-asserted-by":"crossref","unstructured":"2) Ignatov T, Eggemann H, Costa SD, et al. Endometrial cancer subtypes are associated with different patterns of recurrence. J Cancer Res Clin Oncol 2018; 144: 2011\u20137.","DOI":"10.1007\/s00432-018-2711-8"},{"key":"3","doi-asserted-by":"crossref","unstructured":"3) Addison AB, Miller K, Hammouch D, et al. Appendiceal metastasis 10 years following \u2018curative\u2019 resection for low-grade primary endometrial carcinoma. BMJ Case Rep 2012; 2012: bcr1020114895.","DOI":"10.1136\/bcr.10.2011.4895"},{"key":"4","doi-asserted-by":"crossref","unstructured":"4) Wou C, Chaston N, Doughan S. Mistaken identity: endometrial or rectal cancer? BMJ Case Rep 2014; 2014: bcr2013202874.","DOI":"10.1136\/bcr-2013-202874"},{"key":"5","doi-asserted-by":"crossref","unstructured":"5) Franchello A, Fronda G, Deiro G, et al. Unusual presentation of recurrent early stage endometrial carcinoma 28 years after primary surgery. Case Rep Surg 2015; 2015: 256838.","DOI":"10.1155\/2015\/256838"},{"key":"6","doi-asserted-by":"crossref","unstructured":"6) Hubers JA, Soni A. A rare case of endometrial cancer metastatic to the sigmoid colon and small bowel. Case Rep Gastrointest Med 2017; 2017: 9382486.","DOI":"10.1155\/2017\/9382486"},{"key":"7","doi-asserted-by":"crossref","unstructured":"7) Cardella F, Mabilia A, Basile N, et al. Sigmoid metastasis from endometrioid cancer. Minerva Chir 2018; 73: 447\u20139.","DOI":"10.23736\/S0026-4733.18.07748-9"},{"key":"8","doi-asserted-by":"crossref","unstructured":"8) Jauregui A, Gajendran M, Loganathan P, et al. Rare distal metastasis of endometrial adenocarcinoma impersonating as primary colon cancer. J Investig Med High Impact Case Rep 2021; 9: 23247096211039943.","DOI":"10.1177\/23247096211039943"},{"key":"9","doi-asserted-by":"crossref","unstructured":"9) Koury E, Kawar H, Chahla E. Metastatic endometrial cancer to the sigmoid colon masquerading as primary colorectal cancer. Cureus 2021; 13: e19646.","DOI":"10.7759\/cureus.19646"},{"key":"10","doi-asserted-by":"crossref","unstructured":"10) Li M, Zheng W. Metastasis of endometrial adenocarcinoma masquerading as a primary rectal cancer: A rare case report with literature review. Medicine (Baltimore) 2023; 102: e36170.","DOI":"10.1097\/MD.0000000000036170"},{"key":"11","doi-asserted-by":"crossref","unstructured":"11) Mat\u00edas-Garc\u00eda B, Mendoza-Moreno F, Diez-Alonso M, et al. Malignant bowel obstruction due to intraluminal metastasis of endometrial adenocarcinoma located in the sigmoid colon after nine years of follow-up. Cureus 2023; 15: e47937.","DOI":"10.7759\/cureus.47937"},{"key":"12","doi-asserted-by":"crossref","unstructured":"12) Cao Q, Sun Y, Li J. Endometrial cancer metastatic to the transverse colon mimicking colorectal cancer. Am J Med Sci 2023; 365: e95\u20136.","DOI":"10.1016\/j.amjms.2023.01.001"},{"key":"13","unstructured":"13) Okano M, Hara T, Hata T, et al. A case of the metastatic colonic carcinoma from an endometrial carcinoma. Gan To Kagaku Ryoho 2023; 50: 1918\u201320. (in Japanese)"},{"key":"14","doi-asserted-by":"crossref","unstructured":"14) Foong HY, Blundell J, Law C, et al. Delayed metastatic endometrial carcinoma mimicking primary colon adenocarcinoma: a surprise histopathological finding. Clin Case Rep 2024; 12: e8925.","DOI":"10.1002\/ccr3.8925"},{"key":"15","doi-asserted-by":"crossref","unstructured":"15) Shimura T, Fukushima N, Tsuboi K, et al. Serous endometrial carcinoma metastatic to the sigmoid colon masquerading as a primary colon cancer detected by bowel obstruction. Surg Case Rep 2024; 10: 273.","DOI":"10.1186\/s40792-024-02073-8"},{"key":"16","doi-asserted-by":"crossref","unstructured":"16) Mukohyama J, Saito I, Mochizuki S, et al. Endometrial cancer metastatic to the sigmoid colon and pelvic retroperitoneal space: a case report. Anticancer Res 2025; 45: 3567\u201373.","DOI":"10.21873\/anticanres.17718"},{"key":"17","doi-asserted-by":"crossref","unstructured":"17) Muratori L, Sperone P, Gorzegno G, et al. Systemic recurrence of endometrial cancer more than 10 years after hysterectomy: a report of two cases and a brief review of the literature. J Egypt Natl Canc Inst 2020; 32: 41.","DOI":"10.1186\/s43046-020-00052-2"},{"key":"18","doi-asserted-by":"crossref","unstructured":"18) Djordjevic B, Westin S, Broaddus RR. Application of immunohistochemistry and molecular diagnostics to clinically relevant problems in endometrial cancer. Surg Pathol Clin 2012; 5: 859\u201378.","DOI":"10.1016\/j.path.2012.08.004"},{"key":"19","doi-asserted-by":"crossref","unstructured":"19) Yang H, Gu JJ, Qi Y, et al. Endometrioid adenocarcinoma of the rectovaginal septum with invasion of the rectum: a case report and review of literature. World J Surg Oncol 2019; 17: 206.","DOI":"10.1186\/s12957-019-1743-0"},{"key":"20","doi-asserted-by":"crossref","unstructured":"20) Li N, Zhou W, Zhao L, et al. Endometriosis-associated recto-sigmoid cancer: a case report. BMC Cancer 2018; 18: 905.","DOI":"10.1186\/s12885-018-4797-4"},{"key":"21","doi-asserted-by":"crossref","unstructured":"21) Ahmed M, Ahmed R. Radiation in gastroenterology. Gastroenterology Res 2022; 15: 285\u201396.","DOI":"10.14740\/gr1567"},{"key":"22","doi-asserted-by":"crossref","unstructured":"22) Lindemann K, Smogeli E, Smastuen MC, et al. Salvage radiation for pelvic relapse after surgically treated endometrial cancer. Cancers (Basel) 2021; 13: 1367.","DOI":"10.3390\/cancers13061367"},{"key":"23","doi-asserted-by":"crossref","unstructured":"23) Sapienza LG, Ning MS, de la Pena R, et al. Outcomes and toxicity after salvage radiotherapy for vaginal relapse of endometrial cancer. Int J Gynecol Cancer 2020; 30: 1535\u201341.","DOI":"10.1136\/ijgc-2020-001281"},{"key":"24","doi-asserted-by":"crossref","unstructured":"24) Francis SR, Ager BJ, Do OA, et al. Recurrent early stage endometrial cancer: Patterns of recurrence and results of salvage therapy. Gynecol Oncol 2019; 154: 38\u201344.","DOI":"10.1016\/j.ygyno.2019.04.676"},{"key":"25","doi-asserted-by":"crossref","unstructured":"25) Chapman CH, Maghsoudi K, Littell RD, et al. Salvage high-dose-rate brachytherapy and external beam radiotherapy for isolated vaginal recurrences of endometrial cancer with no prior adjuvant therapy. Brachytherapy 2017; 16: 1152\u20138.","DOI":"10.1016\/j.brachy.2017.07.002"},{"key":"26","doi-asserted-by":"crossref","unstructured":"26) Vargo JA, Kim H, Houser CJ, et al. Definitive salvage for vaginal recurrence of endometrial cancer: the impact of modern intensity-modulated-radiotherapy with image-based HDR brachytherapy and the interplay of the PORTEC 1 risk stratification. Radiother Oncol 2014; 113: 126\u201331.","DOI":"10.1016\/j.radonc.2014.08.038"},{"key":"27","doi-asserted-by":"crossref","unstructured":"27) Campagnutta E, Giorda G, De Piero G, et al. Surgical treatment of recurrent endometrial carcinoma. Cancer 2004; 100: 89\u201396.","DOI":"10.1002\/cncr.11868"},{"key":"28","doi-asserted-by":"crossref","unstructured":"28) Shikama A, Minaguchi T, Takao W, et al. Predictors of favorable survival after secondary cytoreductive surgery for recurrent endometrial cancer. Int J Clin Oncol 2019; 24: 1256\u201363.","DOI":"10.1007\/s10147-019-01469-z"}],"container-title":["Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.jstage.jst.go.jp\/article\/scrj\/12\/1\/12_cr.26-0134\/_pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T04:44:05Z","timestamp":1782535445000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.jstage.jst.go.jp\/article\/scrj\/12\/1\/12_cr.26-0134\/_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":28,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.70352\/scrj.cr.26-0134","relation":{},"ISSN":["2198-7793"],"issn-type":[{"value":"2198-7793","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"article-number":"cr.26-0134"}}