Endometrial Stromal Sarcoma: Case Series with Emphasis on Gross Features
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Endometrial stromal sarcomas (ESS) constitute around 10% of uterine sarcomas, but only 0.2% of all uterine malignancies. ESS usually present in the peri-menopausal age group, as compared to other uterine malignancies which are more common in postmenopausal women . ESS are often clinically misdiagnosed as benign entities like uterine leiomyomas and are usually diagnosed postoperatively, after a histopathological examination of a hysterectomy or polypectomy specimen . This calls for a repeat surgery for definitive management.
ESS are indolent tumours, but can often present with late recurrence and metastasis . Differentiating endometrial stromal nodule (ESN) from ESS is of utmost importance from the management point of view and is done on the basis of myometrial and/or vascular invasion. The recognition of gross features that could lead to a suspicion of an endometrial stromal tumour versus a leiomyoma is of vital importance, so that extensive sampling can be...
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