Case report
Endometrial stromal sarcome – rare uterine tumor. A case report and literature review
Tonči Visković
; Department of Obstetrics and Gynecology, General Hospital Zabok
Mladen Krajcar
; Department of Obstetrics and Gynecology, General Hospital Zabok
Martin Gredičak
; Department of Obstetrics and Gynecology, General Hospital Zabok
Bruno Grabušić
; Department of Obstetrics and Gynecology, General Hospital Zabok
Rajko Fureš
; Department of Obstetrics and Gynecology, General Hospital Zabok
Jadranka Šanjug
; Department of Obstetrics and Gynecology, General Hospital Zabok
Tanja Leniček
; Clinical Unit for Pathology „Ljudevit Jurak“ University Hospital Center „Sisters of Mercy“
Abstract
Endometrial stromal sarcoma (ESS) is uncommon uterine malignant tumor and makes approximately 0.2 % of all gynecological malignancies. It is the rarest tumor in the group of mesenchymal uterine tumors. Diagnosis may be difficult, since differentiation between several soft-tissue uterine neoplasms such as highly cellular leiomyoma, cellular endometrial polyp, low-grade Mullerian carcinosarcoma and adenomyosis is tricky. Treatment is surgical, hysterectomy and bilateral adnexectomy is obligatory, the role of lymphadenectomy is still controversial. Since ESS is hormone dependent tumor, hormone therapy as adjuvant therapy can be taken into consideration. In this article we present a 57-yearold patient, clinically asymptomatic, with peculiar TV ultrasound feature, and ESS diagnosed on patho-histologically after operation due to presumed benign diagnosis.
Keywords
endometrial stromal sarcoma; therapy
Hrčak ID:
251859
URI
Publication date:
1.1.2018.
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