Saturday, September 8, 2018

#Endometrial sarcoma. Case report and review of the literature by Spyroulis C in BJSTR

Abstract

Endometrial stromal sarcoma is a rare type of endometrial cancer that is mainly present in older women. There is no specific classification for this type of endometrial cancer and for this reason we use the FIGO classification that is used to stage endometrial type cancers. The main presenting complaint of women with endometrial stromal sarcoma is PV bleeding. Endometrial sarcoma cells are positive for both estrogen and progesterone receptors and have high levels of CD-10 and inhibin. We present a case of a 56 year old lady who came to the RAC due to PMB and scan findings suggesting of endometrial fibroid. Patient undergone a hysteroscopy which shown a large polypoid lesion in the posterior uterine wall and a large fibroid tissue lesion in the endometrium, suggesting of endometrial sarcoma. Patient had MRI and discussed in MDT, as per Trust policy and she had a TAH+BSO. The histology confirmed the diagnosis of low gradeendometrial sarcoma.




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