Abstract | RATIONALE: PATIENT CONCERNS: A 42-year-old nulliparous female with dysgnosia presented with a moderate amount of irregular vaginal bleeding, abdominal pain and distension, and frequent urination for 2 days. Her surgical history included a total hysterectomy and bilateral salpingectomy for uterine fibroids 6 years ago. Ultrasonography and the abdominal and pelvic computed tomography scan detected some solid polycystic masses in the pelvic and abdominal cavities. DIAGNOSES: The histopathology of the specimen confirmed the diagnosis of LESS in the absence of florid endometriosis. The patient was diagnosed with primary extrauterine endometrial stromal sarcoma at FIGO stage III. INTERVENTIONS: Surgery and histopathology were performed. OUTCOME: LESSONS: The diagnosis of primary LGEESS is challenging mainly because of their unforeseen location and nongynecologic signs and symptoms. Total hysterectomy and bilateral salpingo-oophorectomy are recommended to LGESS, while additional resection for extrauterine disease depends on disease extent and resectability.
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Authors | Ningxin Chen, Min Gong, Wen Lai, Ling Ling, Qiaoling Liu |
Journal | Medicine
(Medicine (Baltimore))
Vol. 102
Issue 12
Pg. e33306
(Mar 24 2023)
ISSN: 1536-5964 [Electronic] United States |
PMID | 36961184
(Publication Type: Case Reports, Journal Article)
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Copyright | Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. |
Topics |
- Humans
- Female
- Adult
- Sarcoma, Endometrial Stromal
(surgery, pathology)
- Endometrial Neoplasms
(pathology)
- Endometrial Stromal Tumors
(pathology)
- Hysterectomy
- Uterine Neoplasms
(surgery)
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