Case Report
Year: 2017 | Month: September | Volume: 7 | Issue: 9 | Pages: 320-325
Endometrial Stromal Sarcoma Mimicking Adenomyosis with Ovarian Carcinoma-A Case Report
Dr. Gritachi Das1, Dr. Sanjay M. Khaladkar2
1Post Graduate Student, 2Professor,
Dept. of Radiology, Dr. D.Y. Patil Medical College and Research Centre, Dr D.Y. Patil Vidyapeeth Pune, Maharashtra.
Corresponding Author: Dr. Gritachi Das
ABSTRACT
Endometrial stromal sarcoma is a very rare malignant tumour that constitutes 0.2 % of all uterine malignancies. It affects slightly younger woman as compared to otherwise uterine malignancies with mean age of 42-52 years. Usual presentation is in perimenopausal age with abnormal uterine bleeding, uterine enlargement. It mimics endometrial carcinoma, leiomyoma, leiomyosarcomas, adenomyosis and ovarian tumour. A high index of suspicion is needed for its diagnosis. Hysterectomy is the treatment of choice. We report a case of 40 year old female patient presenting with lower abdominal pain, menorrhagia and abdominal distension. Ultrasound and CT abdomen and pelvis revealed enlarged uterus with heterogeneous myometrium, subserous fibroid and multilocular cystic mass with solid mural nodules. A diagnosis of adenomyosis with malignant ovarian neoplastic mass was made. Hysterectomy was performed. Histopathological diagnosis was entrometrial stromal sarcoma with bilateral ovarian infiltration.
Key words: Endometrial Stromal Sarcoma, Adenomyosis, ovarian carcinoma, leiomyosarcoma.