Mortara GÁS, González BR, Arias LR, Sangines MA, Moreno LHJM, Zertuche ZJG

Language: Spanish
References: 14
Page: 224-227
PDF size: 181.51 Kb.

ABSTRACT

55 years female patient who is sent to the New Hospital Durango management fibroids and anemia, why not start the study protocol for hysterectomy, preoperative presenting within normal parameters, transvaginal ultrasound uterine fibroids and endometrial hyperplasia, biopsy endometrium with endometrial hyperplasia without atypia simple, and is scheduled for total abdominal hysterectomy with bilateral salpingo-oophorectomy. Surgical procedure is performed with the incident of tearing the uterine body on the right side with extension to the neck and externalization of endometrial tissue, the event is completed without complications. Histopathologic endometrial stromal sarcoma of high grade. Management in a row by the oncology department by 25 sessions of radio and brachytherapy.

REFERENCES

1. Yildirim Y, Inal M, et al. Uterine sarcomas: a 10 years experience and a review of the literature. Women´s Oncol Rev 2004;4:7-12.

2. Szabo I. Transvaginal color Doppler for assessment of uterine vascularity in cases of uterine fibroids and sarcomas. Ultrasound Review of Obstetrics and Gynecology 2003;3:294-299.

3. José Luis C. Sarcomas uterinos: manejo actual. Rev Chil Obstet Ginecol 2005;70(5): 332-339.

4. Sharma D, Rath G. Clinical outcome of patients with uterine sarcomas. Journal of Cancer Research and Therapeutics 2011;7:270-274.

5. Acharya S, Hensley M L, et al. Rare Uterine Cancers. Lancet Oncol 2005;6:961-971.

6. Umesaki N, Tanaka T, et al. Positron emission tomography with magnetic resonance imaging and power doppler imaging. Gynecol Oncol 2011;80:372-377.

7. Sagae S, Yamashita K, et al. Preoperative diagnosis and treatment results in 106 patients with uterine sarcoma in Hokkaido, Japan. Oncology 2004;67:33-39.

8. Amant F, Coosemans A, et al. Clinical management of uterine sarcomas. Lancet Oncol 2009;10:1188-1198.

9. Alcázar JL, Gálvan R, et al. Transvaginal ultrasound in the diagnosis of uterine pathology. Expert Rev Obstet Gynecol 2008;3:753-760.

10. Alvarado FJ, Vega E. Sarcoma uterino. Reporte de caso. Ginecol Obstet Mex 2005; 73:54-58.

11. Tamai K, Koyama T, et al. The utility of diffusion-weighted MR imaging for differentiating uterine sarcomas from benign leiomyomas. Eur Radiol 2008;18:723-730.

12. McCluggage WG, Cromie AJ, et al. Uterine endometrial stromal sarcoma with smooth muscle and glandular differentiation. J Clin Pathol 2001;54:481-483.

13. Thomas A, Agarwal S. Uterine sarcoma: An unusual metastatic site. Journal of Obstetrics and Gynaecology 1999;19:90.

14. Takeuchi M, Matsuzaki K, et al. Pathologies of the uterine endometrial cavity usual and unusual manifestations and pitfalls on magnetic resonance imaging. Eur Radiol 2005;15:2244-2255.