Journal of Mid-Life Health (Jan 2018)

Low-grade endometrial stromal sarcoma in a postmenopausal woman with third-degree uterovaginal prolapse: A rare case with review of the literature

  • Meenakshi Gothwal,
  • Garima Yadav,
  • Meenakshi Rao,
  • Pratibha Singh,
  • Aasma Nalwa

DOI
https://doi.org/10.4103/jmh.jmh_90_18
Journal volume & issue
Vol. 9, no. 3
pp. 165 – 167

Abstract

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Endometrial stromal sarcomas (ESSs) are rare malignant tumors of the uterus that arise from the endometrial stroma, the annual incidence of ESS being 1–2/million women. Patients present with nonspecific complaints of abnormal uterine bleeding, pelvic pain, and pressure symptoms. Postmenopausal women rarely present with a low-grade ESS, as it is more common in younger women. ESS is usually confused with leiomyomas radiologically. Histopathological examination and immunohistochemistry are essential for the diagnosis. We, herein, report a case of a postmenopausal female who presented with something coming out per vagina. The clinical impression was that of a third-degree uterovaginal prolapse that on histopathological examination was diagnosed as a low-grade ESS.

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