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Case Report
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| Endometrial stromal sarcoma: Where only rarity prevails over obvious presentation | ||||||
| Vijayata Sangwan1, Mukesh Kumar Sangwan1, Sunita Siwach1, Amrita Duhan1, Rajeev Mahendroo1, Richa Kansal1 | ||||||
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Assistant Professor, Department of Obst. & Gynae, B.P.S Govt. Medical College For Women, KhanpurKalan, Sonepat, Haryana 131305, India.
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| How to cite this article |
| Sangwan V, Sangwan MK, Siwach S, Duhan A, Mahendroo R, Singh N. Endometrial stromal sarcoma: Where only rarity prevails over obvious presentation. Int J Case Rep Images 2014;5(6):435–438. |
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Abstract
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Introduction:
Endometrial stromal sarcoma (ESS) is a rare malignancy arising from the endometrial stroma. The majority (90%) of patients present with abnormal uterine bleeding (AUB) followed by mass per abdomen and pelvic pain. However, rarity of this tumor limits the clinician to consider it even as a differential diagnosis despite of having its typical symptoms and only diagnosed by biopsy as a surprise. On analysis of age of presentation, clinical findings and various diagnostic modalities, endometrial stromal sarcoma (ESS) mimics other disorders such as leiomyoma, leiomyosarcoma and endometrial polyp. The diagnostic dilemma continues even on gross and microscopic features of ESS and above mentioned disorders. The role of immunomarkers like CD10, desmin, h-caldesmon, etc. has evolved for specific diagnosis.
Case Report: A 60-year-old female was presented with a complaint of postmenopausal bleeding underwent hysterectomy with a provisional diagnosis of submucous myoma and histopathological examination revealed this as endometrial stromal sarcoma. Conclusion: Endometrial stromal sarcoma is a rare tumor and a strong clinical suspicion is the essential tool for its early diagnoses and better management. | |
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Keywords:
Endometrium, Hysterectomy, Leiomyoma
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Author Contributions
Vijayata Sangwan – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Mukesh Kumar Sangwan – Analysis and interpretation of data, Drafting the article, Final approval of the version to be published Sunita Siwach – Analysis and interpretation of data, Drafting the article, Final approval of the version to be published Amrita Duhan – Analysis and interpretation of data, Drafting the article, Final approval of the version to be published Rajeev Mahendroo – Analysis and interpretation of data, Drafting the article, Final approval of the version to be published Richa Kansal – Analysis and interpretation of data, Drafting the article, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2014 Vijayata Sangwan et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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About The Authors
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