Open AccessA Rare Case Report of High-Grade Endometrial Stromal Sarcoma in a Seemingly Healthy Uterus of a Young Patient – Optimally Managed by Minimally Access Surgery
Author(s) -
Kanika Jain,
Debasis Dutta,
Kanika Chopra,
Pallav Gupta
Publication year - 2019
Publication title -
indian journal of medical and paediatric oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.229
H-Index - 22
eISSN - 0975-2129
pISSN - 0971-5851
DOI - 10.4103/ijmpo.ijmpo_184_17
Subject(s) - medicine , endometrial stromal sarcoma , hysterectomy , paraaortic lymph nodes , uterus , lymphadenectomy , sarcoma , uterine sarcoma , surgery , differential diagnosis , radiology , lymph node , cancer , pathology , metastasis
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.