A case of ovarian endometrial stromal sarcoma: Radiological and histopathological findings.
CT
Endometrial stromal sarcoma
Histopathological
MRI
Ovary
Journal
Radiology case reports
ISSN: 1930-0433
Titre abrégé: Radiol Case Rep
Pays: Netherlands
ID NLM: 101467888
Informations de publication
Date de publication:
Oct 2023
Oct 2023
Historique:
received:
03
05
2023
revised:
09
07
2023
accepted:
14
07
2023
medline:
7
8
2023
pubmed:
7
8
2023
entrez:
7
8
2023
Statut:
epublish
Résumé
Endometrial stromal sarcoma (ESS) is an uncommon uterine mesenchymal neoplasm. The primary extra-uterine location of ESS is a very rare occurrence. We present a case of a 39-year-old woman presented with severe abdominal pain, MRI showed bilateral ovarian tumors with heterogeneous intensity on T2-weighted imaging (T2WI) and T1-weighted imaging (T1WI), with restricted diffusion, including hyperintense areas on T1WI, not erased on T1-weighted fat-suppressed imaging, hypointense on T2WI, and not enhanced after contrast. This mass extended to the Douglas and invaded the uterine and the rectum serosa suggesting an underlying endometriosis. No abnormalities were suspected in the endometrium. The exploration revealed a friable mass arising from ovaries associated with nodules in the small intestine and sigmoid. The patient underwent bilateral adnexectomy and the anatomopathological study revealed a low-grade endometrial stromal sarcoma. This is one of the few reports covering the radiological features of low-grade extra-uterine ESS in the ovary which is probably secondary to degeneration of endometriosis with no evidence of primary uterine ESS.
Identifiants
pubmed: 37547797
doi: 10.1016/j.radcr.2023.07.027
pii: S1930-0433(23)00467-3
pmc: PMC10400806
doi:
Types de publication
Case Reports
Langues
eng
Pagination
3529-3534Informations de copyright
© 2023 The Authors. Published by Elsevier Inc. on behalf of University of Washington.
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