Preoperative Diagnosis and Chemotherapy of Endometrial Stromal Sarcoma with Ultrasound Image Based on Nano Bubble

Abstract

This work aimed to improve the preoperative detection rate of endometrial stromal sarcoma (ESS) by ultrasound imaging (USI). The clinical manifestations and USI findings of ESS were retrospectively analyzed, and the characteristics of USI findings of patients with ESS were summarized. The conclusion showed that the patients with ESS exhibited no remarkable difference in onset age and clinical manifestations compared with those with uterine fibroid (UF). Therefore, it was more difficult to distinguish the ESS and UF based on the onset age and clinical manifestations only. Therefore, when the USI displayed as a polycystic mixed echo located at an unclear boundary and the blood flow signal of the mass was rich and disordered, it may consider the possibility of ESS. Improving the understanding of ESS is conductive in reducing the rate of clinical misdiagnosis. The 3-year overall survival rate (OSR) of patients with ESS was 82.5%, the 5-year OSR was 78.1%, the average overall survival period (OSP) was 42 months, and the 3-year disease-free survival rate (DFSR) was 80.7%.