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CC BY-NC-ND 4.0 · Indian J Med Paediatr Oncol 2019; 40(S 01): S130-S132
DOI: 10.4103/ijmpo.ijmpo_184_17
Case Report

A Rare Case Report of High-Grade Endometrial Stromal Sarcoma in a Seemingly Healthy Uterus of a Young Patient – Optimally Managed by Minimally Access Surgery

Kanika Jain
Department of Minimal Invasive Gynaecology, Institute of Obstetrics and Gynaecology, Sir Gang Ram Hospital, New Delhi, India
,
Debasis Dutta
Department of Minimal Invasive Gynaecology, Institute of Obstetrics and Gynaecology, Sir Gang Ram Hospital, New Delhi, India
,
Kanika Chopra
Department of Minimal Invasive Gynaecology, Institute of Obstetrics and Gynaecology, Sir Gang Ram Hospital, New Delhi, India
,
Pallav Gupta
Department of Histopathology, Sir Ganga Ram Hospital, New Delhi, India
› Author Affiliations Financial support and sponsorship Nil.
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Abstract

Endometrial stromal sarcomas (ESSs) are a rare entity, constituting 10% of all uterine sarcomas and 0.2% of all uterine malignancies. We report a very rare case of high-grade endometrial stromal sarcoma in a 34-year-old female with fibroids uterus diagnosed postlaparoscopic hysterectomy. Thereafter, laparoscopic paraaortic and pelvic lymphadenectomy and bilateral oophorectomy were done. The diagnosis of high-grade endometrial stromal sarcoma Stage 1A was made, with lymph nodes and ovaries free from the disease. The patient is undergoing chemoradiotherapy at present and is in a close follow-up with us. ESS should be included as differential diagnosis of abnormal uterine bleeding so that best possible management of the patient can be done.

Keywords

Fibroids - high-grade endometrial stromal sarcoma - total laparoscopic hysterectomy


Publication History

Article published online:
24 May 2021

© 2019. 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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