Abstract

One of the rarest types of uterine cancers is endometrial stromal carcinoma, a uterine cancer that accounts for less than 1% of the reproductive organ cancers. It occurs in the age group of 40-50 years. Endometrial cancer develops from the glands whereas ESS from different types of cell. ESS tends to be less aggressive and occurs in women younger than the average age for uterine cancers. An young patient of 31 years complained of irregular bleeding per vagina (P/V) following medical termination of pregnancy of 2 months gestation.USG of pelvic organs revealed products of conception and check curettage done and the products sent for histopathological examination. They report as products of conception. Irregular bleeding continues and the patient was sent for magnetic resonance imaging and the report was ? Gestational trophoblastic neoplasia . Serum HCG levels are found to be elevated. Second curettage done and the histopathological report of endometrium is pill enodometrium without use of oral contraceptive pills. As the bleeding per vagina continues and the USG repeat.USG suggests enlarged uterus with irregular polypoidal mass with fluid collection in the uterine cavity. Third check curettage done at GGH and the material sent for histopathological examination. The report was again the products of conception with no evidence of molar pregnancy. In view of persistant bleeding P/V , enlarged uterus of 14 weeks, laparotomy done and total abdominal hysterectomy done. Both tubes and ovaries are healthy and they are preserved. The histopathological report was low grade Endometrial Stromal Sarcoma (ESS).

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