Low-Grade Endometrial Stromal Sarcoma in a 22-Year-Old Maiden Female: A Rare Case Report from Syria

Endometrial stromal sarcoma (ESS) is a rare and challenging type of endometrial tumor, constituting only about 0.2% of all uterine malignancies and occurring in women 42–58 years of age. ESS is usually misdiagnosed as leiomyoma. They both have nonspecific symptoms, which makes the diagnosis of ESS d...

Full description

Saved in:
Bibliographic Details
Main Authors: Lana Nseir, Georget Mansour, Junior Makhoul, Luna Skaf, Mohammad Ziad Dahhan, Zuheir AlShehabi
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Obstetrics and Gynecology
Online Access:http://dx.doi.org/10.1155/2021/5578686
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832561413561778176
author Lana Nseir
Georget Mansour
Junior Makhoul
Luna Skaf
Mohammad Ziad Dahhan
Zuheir AlShehabi
author_facet Lana Nseir
Georget Mansour
Junior Makhoul
Luna Skaf
Mohammad Ziad Dahhan
Zuheir AlShehabi
author_sort Lana Nseir
collection DOAJ
description Endometrial stromal sarcoma (ESS) is a rare and challenging type of endometrial tumor, constituting only about 0.2% of all uterine malignancies and occurring in women 42–58 years of age. ESS is usually misdiagnosed as leiomyoma. They both have nonspecific symptoms, which makes the diagnosis of ESS difficult to achieve. As the ESS is infrequently encountered, optimal management is quite debatable. Here, we report a rare case of a 22-year-old Syrian female who presented with abnormal uterine bleeding; the preoperative diagnosis suggested leiomyoma while histopathological and immunohistochemical studies confirmed the diagnosis of LG-ESS stage IIA. Therefore, the treatment plan was shifted from a conservative myomectomy to a total hysterectomy with both adnexa. The aim of this case report is to draw attention to this uncommon tumor at young age of patients as well as to have awareness of the necessity to suspect this diagnosis especially with the presentation of rapid enlargement of uterine leiomyoma.
format Article
id doaj-art-2c18945f21304ca881952d8e93a8db74
institution Kabale University
issn 2090-6684
2090-6692
language English
publishDate 2021-01-01
publisher Wiley
record_format Article
series Case Reports in Obstetrics and Gynecology
spelling doaj-art-2c18945f21304ca881952d8e93a8db742025-02-03T01:24:59ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922021-01-01202110.1155/2021/55786865578686Low-Grade Endometrial Stromal Sarcoma in a 22-Year-Old Maiden Female: A Rare Case Report from SyriaLana Nseir0Georget Mansour1Junior Makhoul2Luna Skaf3Mohammad Ziad Dahhan4Zuheir AlShehabi5Department of Pathology, Cancer Research Centre, Tishreen University Hospital, Lattakia, SyriaFaculty of Medicine, Tishreen University, Lattakia, SyriaFaculty of Medicine, Tishreen University, Lattakia, SyriaFaculty of Medicine, Tishreen University, Lattakia, SyriaDepartment of Obstetrics and Gynaecology, Al-Tabiat Surgical Hospital, Lattakia, SyriaDepartment of Pathology, Cancer Research Centre, Tishreen University, Lattakia, SyriaEndometrial stromal sarcoma (ESS) is a rare and challenging type of endometrial tumor, constituting only about 0.2% of all uterine malignancies and occurring in women 42–58 years of age. ESS is usually misdiagnosed as leiomyoma. They both have nonspecific symptoms, which makes the diagnosis of ESS difficult to achieve. As the ESS is infrequently encountered, optimal management is quite debatable. Here, we report a rare case of a 22-year-old Syrian female who presented with abnormal uterine bleeding; the preoperative diagnosis suggested leiomyoma while histopathological and immunohistochemical studies confirmed the diagnosis of LG-ESS stage IIA. Therefore, the treatment plan was shifted from a conservative myomectomy to a total hysterectomy with both adnexa. The aim of this case report is to draw attention to this uncommon tumor at young age of patients as well as to have awareness of the necessity to suspect this diagnosis especially with the presentation of rapid enlargement of uterine leiomyoma.http://dx.doi.org/10.1155/2021/5578686
spellingShingle Lana Nseir
Georget Mansour
Junior Makhoul
Luna Skaf
Mohammad Ziad Dahhan
Zuheir AlShehabi
Low-Grade Endometrial Stromal Sarcoma in a 22-Year-Old Maiden Female: A Rare Case Report from Syria
Case Reports in Obstetrics and Gynecology
title Low-Grade Endometrial Stromal Sarcoma in a 22-Year-Old Maiden Female: A Rare Case Report from Syria
title_full Low-Grade Endometrial Stromal Sarcoma in a 22-Year-Old Maiden Female: A Rare Case Report from Syria
title_fullStr Low-Grade Endometrial Stromal Sarcoma in a 22-Year-Old Maiden Female: A Rare Case Report from Syria
title_full_unstemmed Low-Grade Endometrial Stromal Sarcoma in a 22-Year-Old Maiden Female: A Rare Case Report from Syria
title_short Low-Grade Endometrial Stromal Sarcoma in a 22-Year-Old Maiden Female: A Rare Case Report from Syria
title_sort low grade endometrial stromal sarcoma in a 22 year old maiden female a rare case report from syria
url http://dx.doi.org/10.1155/2021/5578686
work_keys_str_mv AT lananseir lowgradeendometrialstromalsarcomaina22yearoldmaidenfemaleararecasereportfromsyria
AT georgetmansour lowgradeendometrialstromalsarcomaina22yearoldmaidenfemaleararecasereportfromsyria
AT juniormakhoul lowgradeendometrialstromalsarcomaina22yearoldmaidenfemaleararecasereportfromsyria
AT lunaskaf lowgradeendometrialstromalsarcomaina22yearoldmaidenfemaleararecasereportfromsyria
AT mohammadziaddahhan lowgradeendometrialstromalsarcomaina22yearoldmaidenfemaleararecasereportfromsyria
AT zuheiralshehabi lowgradeendometrialstromalsarcomaina22yearoldmaidenfemaleararecasereportfromsyria