{"paper_id":"13e647a2-1d4c-4472-b3cc-b1d933ae0365","body_text":"Abstract\nIntroduction: Extrauterine endometrial stromal sarcoma (EESS) arising from Deep pelvic endometriosis (DPE) has a poor life quality and is difficult to diagnose pre-operatively. However, the patient’s quality of life can be improved when it is diagnosed precisely and managed successfully.\nCase Report: A 35-year-old woman presented to our hospital with a 3-month history of hematochezia and anal pain. Initially, she was misdiagnosed as a rectal stromal tumor and then precisely diagnosed as having EESS from DPE following several multidisciplinary team (MDT) meetings. The lesion was shrunk by gonadotrophin-releasing hormone agonist (GnRH-α) treatment and then resected with minimal trauma.\nConclusion: MDT is crucial in the treatment of the patient. It can promote individualized treatment and improve patient’s quality of life.\nKeywords: MDT, EESS arising from DPE, MRI, Diagnosis, Treatment, computed tomography\n[http://dx.doi.org/10.1186/s12905-020-01047-w] [PMID: 32795369]\n[http://dx.doi.org/10.1148/rg.312105144] [PMID: 21415196]\n[http://dx.doi.org/10.1136/jclinpath-2014-202829] [PMID: 25595274]\n[http://dx.doi.org/10.1016/j.clinimag.2020.08.015] [PMID: 32890909]\n[http://dx.doi.org/10.1016/0090-8258(90)90126-6] [PMID: 2403959]\n[http://dx.doi.org/10.1097/01.AOG.0000133533.05148.aa] [PMID: 15516445]\n[http://dx.doi.org/10.1016/j.ijscr.2020.06.062] [PMID: 32698283]\n[http://dx.doi.org/10.1186/s40661-019-0067-7] [PMID: 30723546]\n[http://dx.doi.org/10.7860/JCDR/2017/25013.9432] [PMID: 28511399]\n[http://dx.doi.org/10.1097/PGP.0000000000000351] [PMID: 27801759]\n[http://dx.doi.org/10.5468/ogs.2016.59.4.323] [PMID: 27462602]\n[http://dx.doi.org/10.1155/2015/534273] [PMID: 25648532]\n[http://dx.doi.org/10.1159/000341706] [PMID: 22986788]\n[http://dx.doi.org/10.1159/000336522] [PMID: 22538201]\n[http://dx.doi.org/10.1007/s13244-017-0591-0] [PMID: 29450853]\n[http://dx.doi.org/10.1093/humrep/deaa103] [PMID: 32619220]\n[http://dx.doi.org/10.4103/0971-5851.96960] [PMID: 22754201]\n[http://dx.doi.org/10.1002/cam4.2044] [PMID: 30897294]\n[http://dx.doi.org/10.1155/2010/353679] [PMID: 20613993]\n[http://dx.doi.org/10.1186/s13256-021-02838-x] [PMID: 33947445]\n[http://dx.doi.org/10.1016/j.ygyno.2004.07.063] [PMID: 15582003]\n[http://dx.doi.org/10.1007/s12672-010-0007-9] [PMID: 21761354]\n[http://dx.doi.org/10.7150/jca.32685] [PMID: 31777588]","source_license":"CC0","license_restricted":false}