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CC BY-NC-ND 4.0 · Indian J Med Paediatr Oncol 2010; 31(01): 21-23
DOI: 10.4103/0971-5851.68848
CASE REPORT

Endometrial stromal sarcoma

Geetha Puliyath
Department of Obstetrics and Gynaecology, SUT Academy of Medical Sciences, Vattappara, Trivandrum, Kerala, India
,
Rajasekharan V Nair
Department of Obstetrics and Gynaecology, SUT Academy of Medical Sciences, Vattappara, Trivandrum, Kerala, India
,
Swetha Singh
Department of Obstetrics and Gynaecology, SUT Academy of Medical Sciences, Vattappara, Trivandrum, Kerala, India
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Abstract

Endometrial stromal sarcoma (ESS) is a rare malignant tumor of the endometrium, occurring in the age group of 40-50 years. This is a case of low-grade ESS presenting as rapid enlargement of a fibroid uterus. Because of her secondary infertility, she was planned for myomectomy. However, due to the high degree of suspicion of a sarcomatous change in the fibroid, in view of rapid enlargement of uterus within the last 4 months, we planned for a preoperative endometrial aspiration. It showed low-grade ESS, which was later confirmed by histopathology examination of total hysterectomy specimen. As surgery was the main treatment for ESS, because of the proper preoperative diagnosis, we could plan the treatment accordingly. Despite the rarity of the tumor, one has to consider the possibility of ESS in cases with presentation of rapid enlargement of a fibroid uterus.

Keywords

Endometrial stromal sarcoma - rapid enlargement of fibroid uterus - uterine sarcoma


Publication History

Article published online:
19 November 2021

© 2010. Indian Society of Medical and Paediatric Oncology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/.)

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