Low‑grade endometrial stromal sarcoma in a young woman diagnosed after resection of endometrial polyp‑like lesions: A case report

Matsukawa,Hitomi; Ota,Nami; Nishioka,Kaho; Noguchi,Tomoko; Iwahashi,Naoyuki; Mabuchi,Yasushi; Yagi,Shigetaka; Minami,Sawako; Ino,Kazuhiko

doi:10.3892/mco.2021.2400

November-2021 Volume 15 Issue 5

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November-2021 Volume 15 Issue 5

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Case Report

Low‑grade endometrial stromal sarcoma in a young woman diagnosed after resection of endometrial polyp‑like lesions: A case report

Authors:
- Hitomi Matsukawa
- Nami Ota
- Kaho Nishioka
- Tomoko Noguchi
- Naoyuki Iwahashi
- Yasushi Mabuchi
- Shigetaka Yagi
- Sawako Minami
- Kazuhiko Ino
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Affiliations: Department of Obstetrics and Gynecology, Wakayama Medical University, Wakayama 641‑0012, Japan
Article Number: 236
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Published online on: September 20, 2021

https://doi.org/10.3892/mco.2021.2400
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Abstract

Low‑grade endometrial stromal sarcoma (LG‑ESS) is a rare tumor that mostly occurs in perimenopausal women. Treatment with total hysterectomy and bilateral salpingo‑oophorectomy is recommended, although fertility preservation or ovarian preservation may be considered in younger patients. The present study reports a case of LG‑ESS in a young woman diagnosed after resection of endometrial polyp‑like lesions. A 26‑year‑old nulligravid woman was referred to our hospital after being diagnosed with endometrial polyps. Hysteroscopic endometrial polypectomy was performed twice, and LG‑ESS was suspected on postoperative pathological examination. Magnetic resonance imaging revealed a tumor 5‑cm in diameter on the right side of the uterus. In light of the young age of the patient, tumorectomy was first performed, and postoperative pathological diagnosis was LG‑ESS with the positive resection margin. After thorough discussion with the patient about fertility preservation and recurrence risk, a total abdominal hysterectomy and ovarian preservation was performed. Medroxyprogesterone therapy was performed postoperatively and no recurrence was observed for 2 years.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Low‑grade endometrial stromal sarcoma in a young woman diagnosed after resection of endometrial polyp‑like lesions: A case report

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