Authors: Nitesh. R. Maurya, Urvi. C. Bhavsar, Sushrut. A. Bhukte, Vijayshree. S. Patil, Dhairyasheel. N. Sava
Endometrial cancer is the most common gynaecological malignancy with an incidence of 1 in 40,000. The risk of recurrence in early stage disease (International Federation of Gynaecology and Obstetrics (FIGO I and II) is between 3-15%. Of these that recur, 76-87% of cases occur within the first 3 years after initial treatment. The most common site of recurrence is the vaginal vault and the pelvis with very few cases of colonic metastasis reported in English literature so far. We report a case of 61 year old female, an operated case of endometroid adenocarcinoma FIGO IB with vaginal vault recurrence after 4 years of initial treatment. Patient was treated for vault recurrence with hormonal therapy and intracavitary RT. This was followed by metastasis to the rectal wall after 3 years of treating the vaginal vault recurrence. Here we discuss the case with a brief review of literature. Keywords: Endometrial cancer, Vaginal recurrence, Colonic metastasis, Gynaecological malignancy.
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