González VK, Rodríguez SIC, Anoceto AE, Alba TO, Iglesias YA, Fernández GJ, Batule LDM, Cabrera AY, Fernández MJC, Bouza JD

Language: Spanish
References: 0
Page: 390-396
PDF size: 285.54 Kb.

ABSTRACT

She is a 25-year-old patient with a previous health history, an obstetric history of pregnancy and childbirth. On this occasion she went to the clinic for presenting pain in the abdomen for three months and expulsion from the vagina of a very fetid material for fifteen days. On physical examination, a gray-white tumor was seen that exited through the external cervical orifice, with a softened area, from which a sample was taken for histological study, but it was not useful for diagnosis, for which antibiotic treatment was applied; after another biopsy sample, which was not conclusive for diagnosis, it was decided to perform a hysterectomy with double adnexectomy and omentectomy. The histopathological diagnosis was found to be a low-grade endometrial stromal sarcoma. Endometrial stromal sarcoma is an infrequent tumor that accounts for less than 10% of uterine sarcomas. Within the uterine mesenchymal tumors are tumors of the endometrial stroma, which in turn are divided into endometrial stromal nodules (benign, well circumscribed and without vascular invasion) and endometrial stromal sarcoma, formerly called stromal miosis endolymphatic, which represents 0.25% of uterine malignancies.