scholarly journals Endometrial Stromal Nodule: Report of a Case

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
F. Z. Fdili Alaoui ◽  
H. Chaara ◽  
H. Bouguern ◽  
M. A. Melhouf ◽  
H. Fatemi ◽  
...  
Keyword(s):  
Light Microscopy ◽  
Adnexal Mass ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
The Other ◽  
Pathologic Examination ◽  
Uterine Tumor ◽  
Stromal Tumors ◽  
Stromal Sarcoma ◽  
Endometrial Stromal Tumors

Endometrial stromal nodule (ESN) is the least common of the endometrial stromal tumors. They are rare neoplasms which are diagnosed in most instances by light microscopy. Although such nodules are benign, hysterectomy has been considered the treatment of choice to determine the margins of the tumor required for diagnosis and to differentiate it from invasive stromal sarcoma Whose prognosis is totally different. We report a case of a 45 years old woman, with presurgical diagnosis of adnexal mass or uterine tumor. She underwent a total abdominal hysterectomy. Pathologic examination revealed an endometrial stromal nodule. Through this observation, we insist on the fact that the ESNs are rare and benign entities which must be differentiated from the other invasive malignant stromal tumors; this can change the final prognosis.

scholarly journals Low grade endometrial stromal sarcoma – A series of 4 cases and review of relevant literature

2015 ◽  
Vol 5 (9) ◽  
pp. 774-777 ◽  
Author(s):  
P Vijayan ◽  
LM Ilias ◽  
A Ponniah ◽  
BA Mohammed
Keyword(s):  
Smooth Muscle ◽  
Light Microscopy ◽  
Relevant Literature ◽  
Endometrial Stromal Sarcoma ◽  
Low Grade ◽  
Stromal Tumors ◽  
Radiological Features ◽  
Stromal Sarcoma ◽  
Smooth Muscle Tumors ◽  
Endometrial Stromal Tumors

Endometrial stromal tumors are rare uterine malignancies composed of cells resembling those of proliferative endometrial stroma. Because of their indistinct clinical and radiological features, these malignancies are very rarely diagnosed preoperatively. They are mostly often diagnosed as fibroid uteruspreoperatively and as a result managed conservatively many a time. Usually distinguishing these tumors from benign smooth muscle tumors of the uterus are not problematic by light microscopy, however, difficulties arise in distinction between highly cellular leiomyomas and endometrial stromal sarcomas with smooth muscle differentiation. Here we present four consecutive cases of low grade endometrial stromal sarcomaswith emphasis on their clinical, histopathological and immunohistochemical features. By this study, we have attempted to document the histologic features of LGESS with discussion of the differential diagnoses to contribute to this rare spectrum of uterine neoplasms.Journal of Pathology of Nepal (2015) Vol. 5, 774-777

Extrauterine endometrial stromal sarcoma arising in a background of endometriosis following prior total abdominal hysterectomy

2018 ◽  
Vol 10 (3) ◽  
pp. 133-135
Author(s):  
Jonathan Chapman ◽  
Blake Bartholomew ◽  
Sayf Al-Katib
Keyword(s):  
Endometrial Stromal Sarcoma ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Imaging Findings ◽  
Stromal Sarcoma

This article describes a case of endometrial stromal sarcoma arising in a background of endometriosis presenting several years after total abdominal hysterectomy. Discussion of endometrial stromal sarcoma ensues as well as review of pertinent imaging findings.

scholarly journals Conservative Resectoscopic Surgery, Successful Delivery, and 60 Months of Follow-Up in a Patient with Endometrial Stromal Tumor with Sex-Cord-Like Differentiation

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Pasquale De Franciscis ◽  
Flavio Grauso ◽  
Domenico Ambrosio ◽  
Marco Torella ◽  
Enrico Michelino Messalli ◽  
...  
Keyword(s):  
Rare Case ◽  
Stromal Tumor ◽  
Practical Relevance ◽  
Uterine Tumor ◽  
Infertile Patient ◽  
Stromal Tumors ◽  
Clinical Behaviour ◽  
Uterine Tumors ◽  
Endometrial Stromal Tumors

Uterine tumors with sex-cord-like differentiation are extremely rare types of uterine stromal neoplasm. These tumors were classified into two groups with considerable practical relevance because clinical behaviour of uterine tumor resembling ovarian sex cord tumor (UTROSCT) differs widely from its closely related endometrial stromal tumors with sex-cord-like elements (ESTSCLE). Treatment and prognosis of these tumors are unresolved issues because of the exiguous number of reported cases. We describe a rare case of endometrial stromal tumor with sex-cord-like differentiation successfully treated by resectoscopic surgery and conservation of the uterus, in an infertile patient affected by metrorrhagia. This procedure resulted in a pregnancy immediately after treatment and in a successful delivery. During 60 months of follow-up no evidence of recurrence was observed.

scholarly journals Ovarian Lymphangioma with Mature Cystic Teratoma

2019 ◽  
Vol 17 (01) ◽  
pp. 128-130
Author(s):  
Karishma Malla Vaidya ◽  
Bigya Shrestha
Keyword(s):  
Benign Tumor ◽  
Histological Analysis ◽  
Adnexal Mass ◽  
Histopathological Examination ◽  
Cystic Teratoma ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Mature Cystic Teratoma ◽  
Long Time ◽  
Slow Growing

Lymphangiomas are slow-growing tumors that remain asymptomatic for a long time, with the tumor being identified incidentally during histopathological examination after excision. Mature cystic teratoma is benign tumor consisting of mature tissue derived from two or three germ layers. We have 47-year-old woman who underwent total abdominal hysterectomy for right adnexal mass. As her ultrasound report revealed a right adnexal mass with solid and cystic components. The histological analysis along with immunohistochemistry (D2-40) maker confirmed the diagnosis of lymphangioma of the ovary coexisting with mature cystic teratoma. There is paucity of reported case of co-existing these two tumors in same tissue.Keywords: D2-40; lymphangioma; mature cystic teratoma; ovary.

scholarly journals Endometrial Stromal Nodule: A Rarity and a Pathological Challenge

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Camilla Skovvang Borg ◽  
Peter Humaidan ◽  
Hanne Noer ◽  
Huda Galib Majeed
Keyword(s):  
Malignant Tumors ◽  
Histopathological Examination ◽  
Pathological Examination ◽  
Diagnostic Tools ◽  
Stromal Tumors ◽  
Tumor Margins ◽  
Stromal Sarcoma ◽  
Preoperative Diagnostic ◽  
Endometrial Sarcoma ◽  
Endometrial Stromal Tumors

Endometrial stromal tumors are rare, and endometrial stromal nodule is the least common. In the region of Middle Jutland, Denmark, only two cases are reported since 1995. The nodules are benign; nevertheless, hysterectomy is the treatment of choice. Tumor margins are required for diagnosis and essential to differentiate it from an invasive stromal sarcoma whose prognosis is very different. We report a rare case of a 38-year-old woman, with presurgical diagnosis of a uterine tumor/polyp. She presented with nausea and changes in bleeding pattern and initially had a transcervical polyp resection performed. Histopathological examination showed the presence of an endometrial stromal tumor with unclear margins, and an invasive malignant endometrial sarcoma could not be excluded. Pathological examination revealed an endometrial stromal nodule with invasion, not exceeding three mm. Endometrial stromal tumors are interesting due to their rare existence and difficulties in establishing a histological diagnosis. Although endometrial stromal nodules are benign entities, they must be differentiated from the other invasive malignant stromal tumors, which may change the final prognosis. No preoperative diagnostic tools are at hand, and benign as well as malignant tumors are treated with hysterectomy.

Isolated ureteral extrauterine endometrial stromal sarcoma: an unusual presentation

2021 ◽  
Vol 14 (9) ◽  
pp. e245099
Author(s):  
Raghavendran Asokan ◽  
Leena Dennis Joseph ◽  
Arthi Mohanendran ◽  
Sriram Krishnamoorthy
Keyword(s):  
De Novo ◽  
Radical Mastectomy ◽  
Hormonal Treatment ◽  
Endometrial Stromal Sarcoma ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Definitive Treatment ◽  
Stromal Sarcoma ◽  
First Case ◽  
Rare Tumours

Extrauterine endometrial stromal sarcomas (EUESSs) are rare tumours occurring without primary uterine involvement. They are classified as primary or secondary, depending on uterine involvement by stromal sarcomas. A 56-year-old woman who earlier underwent bilateral modified radical mastectomy for adenocarcinoma and total abdominal hysterectomy for endometrial stromal sarcoma, followed by tamoxifen therapy, presented with left loin pain. On evaluation, she had a left renal calculus with hydroureteronephrosis. Before percutaneous nephrolithotripsy, ureteroscopy revealed a polypoidal mass that was diagnosed as EUESS. The mass arose primarily within the ureteral lumen, with periureteric tissue uninvolved. She underwent left radical nephroureterectomy with adjuvant hormonal treatment. This is probably the first case of EUESS arising de novo from within the ureteral lumen without endometriosis, to be reported in medical literature. Immunohistochemistry facilitates earlier diagnosis. Cytoreductive surgery is the definitive treatment and multidisciplinary approach helps in overall survival of the patient.

scholarly journals Uterine tumor resembling ovarian sex cord tumor: a clinicopathological and immunohistochemical analysis of two cases and a literature review

2019 ◽  
Vol 47 (3) ◽  
pp. 1339-1347
Author(s):  
Xinxin Zhang ◽  
Shuangwei Zou ◽  
Baohui Gao ◽  
Wanglei Qu
Keyword(s):  
Tumor Cells ◽  
Smooth Muscle Actin ◽  
Abnormal Uterine Bleeding ◽  
Immunohistochemical Analysis ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Incomplete Resection ◽  
Muscle Actin ◽  
Rare Type ◽  
Uterine Tumor

A uterine tumor resembling an ovarian sex cord tumor (UTROSCT) is a rare type of neoplasm that is almost thoroughly differentiated towards ovarian sex cord elements. Because of abnormal uterine bleeding, a 64-year-old postmenopausal woman received total abdominal hysterectomy with bilateral salpingo-oophorectomy. Under a microscope, the tumor cells showed an anastomosing fascicular and trabecular pattern with a reticular architecture. Immunohistochemistry showed that the tumor cells were positive for calretinin, Wilm’s tumor-1, and vimentin. A 33-year-old woman who suffered from menorrhagia, and was treated for bilateral salpingectomy, total abdominal hysterectomy, and bilateral ovarian biopsy, was also studied. Using histology, the patient was diagnosed with UTROSCT as shown by CD99, smooth muscle actin, calretinin, vimentin, and desmin expression. As a type of rare uterine tumor, UTROSCT can be diagnosed based on morphological and immunohistochemical conditions. Generally, these tumors are benign, but can easily relapse through incomplete resection. Hysterectomy should be performed after completion of family planning.

scholarly journals A Case Report of High-Grade Endometrial Stromal Sarcoma: A Rare Cause of Abnormal Uterine Bleeding in a Young Woman

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Nuntasiri Eamudomkarn ◽  
Yuwadee Itarat ◽  
Pilaiwan Kleebkaow ◽  
Chumnan Kietpeerakool
Keyword(s):  
Young Women ◽  
Endometrial Stromal Sarcoma ◽  
Abnormal Uterine Bleeding ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Pelvic Cavity ◽  
Rapid Progression ◽  
High Grade ◽  
Excessive Bleeding ◽  
Stromal Sarcoma

High-grade endometrial stromal sarcoma (HG-ESS) is a rare clinical entity, particularly among young women, and only few cases have been reported in the literature. Herein, we describe the case of a 21-year-old woman who presented with a four-month history of excessive bleeding per vagina. Endometrial curettage and cervical biopsy revealed a malignant round cell tumor suggestive of metastatic sarcoma of uterine origin. Computed tomography of the abdominopelvic region showed an enlarged uterus with diffused thickening throughout the entire endometrial cavity. Intraabdominal lymphadenopathy and ascites in the pelvic cavity were noted. The patient underwent total abdominal hysterectomy, bilateral salpingo-oophorectomy, resections of the enlarged pelvic nodes, omentectomy, and biopsy of the peritoneal nodules in the cul-de-sac. Histological examination revealed a tumor with a permeative growth pattern composed of uniformly high-grade round cells with brisk mitotic activity and extensive lymphovascular space invasion. Sections of the pelvic lymph nodes on both sides and the peritoneal nodule revealed multiple metastatic foci. Immunohistochemical studies showed positive diffuse staining for vimentin, CD 10, and cyclin D1. The pathological diagnosis was HG-ESS stage IIIC. The patient experienced rapid progression of the disease while receiving adjuvant treatment and succumbed eight months after the operation. HG-ESS is a rare cause of AUB in adolescents and young women but should be considered in the differential diagnosis.

scholarly journals How to Approach to Torsional Adnexal Mass in a Geriatric Age Woman: A Case Report and Literature Review

2019 ◽  
Vol 4 (09) ◽  
Author(s):  
Recep ERİN ◽  
Yeşim BAYOĞLU TEKİN ◽  
Fatma Gülgün KOÇAK
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Literature Review ◽  
Adnexal Mass ◽  
Complete Recovery ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Adnexal Torsion ◽  
Gynecologic Emergency ◽  
The Right

We aimed to present how to approach to the postmenopausal torsional adnexal masses, accompanied by a case report and literature review. A 90 year-old geriatric age woman with G5P5 admitted to emergency department with complaints of nausea, vomiting and abdominal pain. We detected a tumoral mass with solid component and irregular surface suspected malignancy in the midline of the pelvis. Laparotomy was performed due to the suspicion of torsion and malignancy. We detected a approximately 25 cm torsional blue-purple colored tumoral mass originating from the right ovary and performed total abdominal hysterectomy and bilateral salpingo-oferectomy. Pathology was reported as a sex cord stromal tumor with torsional. The patient was discharged with complete recovery on the 3rd postoperative day. Adnexal torsion is a gynecologic emergency. It should be considered in postmenopausal women who present with abdominal pain and adnexal mass.

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