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Cases Journal

, 2:55

First Online: 14 January 2009Received: 14 November 2008Accepted: 14 January 2009DOI: 10.1186-1757-1626-2-55

Cite this article as: Aziz, O., Giles, J. & Knowles, S. Cases Journal 2009 2: 55. doi:10.1186-1757-1626-2-55

Abstract

BackgroundEndometrial stromal tumours with sex-cord-like elements were first described by Clement and Scully in 1976. The recent World Health Organisation classification 2003 recognises low grade stromal sarcoma and undifferentiated endometrial sarcoma.

Case presentationA 62-year-old caucasian woman presented with recurrent postmenopausal bleeding. She underwent a diagnostic hysteroscopy which showed a large polyp on the posterior uterine wall. Polypectomy was performed and the histological report of the polyp showed a complex adenomatous lesion of uncertain malignant potential. She underwent a total abdominal hysterectomy and bilateral oophorectomy. The patient is asymptomatic at the time being, and is having annual check ups.

ConclusionTotal abdominal hysterectomy and bilateral ovarian oophorectomy is the best approach at this stage.

These tumours should be considered as having an uncertain but low likelihood of recurrence. It is acknowledged that no extra uterine spread or distant metastases have been reported thus far.

AbbreviationsUTROSCTsUterine Tumours Resembling Sex Cord Tumours

CDCluster designation cluster of differentiation.

Electronic supplementary materialThe online version of this article doi:10.1186-1757-1626-2-55 contains supplementary material, which is available to authorized users.

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Autor: Omar Aziz - John Giles - Simon Knowles

Fuente: https://link.springer.com/







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