Journal of Gynecology and Fertility – Current Issue
Article (s)
Volume 1, Issue 1 J Gynecol Fertil 2017, 1:1
Case Report: Low-Grade Endometrial Stromal Sarcoma Which Relapsed a Month after Transcervical Resection as Fertility-sparing Surgery and Diagnosed with Laparoscopic Hysterectomy
Takeda T*, Tamada Y, Matoba Y, Saotome K, Makabe T
We report a case of 36-year-old female who was treated for a submucosal tumor. She received transcervical resection for submucosal tumor and it was diagnosed as an endometrial stromal nodule (ESN) with muscle differentiation which showed no malignant potential. Fertility-sparing surgery was completed, however, the tumor relapsed a month after surgery. Laparoscopic hysterectomy was performed for diagnosis and treatment. Pathological finding from removed uterus showed low-grade endometrial stromal sarcoma (LGESS) with smooth muscle differentiation. This is an instructive case that endometrial stromal tumors are difficult to diagnose since it cannot be examined fully in fragmented species and low-grade endometrial stromal sarcoma can rapidly develop within a month. Early relapse of the endometrial stromal tumor may have a malignant potential and post-surgical follow-up after fertility-sparing surgery is necessary.
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