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Endometrial stromal sarcoma presenting as an ovarian cyst – A case report

Sumana Mukherjee, Soumit Dey, Prabir Chandra Paul, Saikat Datta, Aparna Bhattacharya.

Abstract
Introduction: Endometrial stromal sarcomas usually arise in the uterine corpus while it is rare in extra-uterine sites. The most common extra-uterine site is the ovary. However, primary endometrial stromal sarcoma of the ovary rarely arises in a serous tumor. We report a case of primary ovarian ESS presenting in the wall of a serous cyst along with a synchronous endometrial stromal nodule (ESN).
Case report: A 50 year old woman presented with lower abdominal pain and fullness. On radiological examination, a left ovarian, predominantly cystic mass about 10cm in diameter was found along with an uterine nodule, 1.5cm in diameter, presumed to be a leiomyoma. The ovarian cyst on histology was diagnosed as ESS arising in a serous cystadenoma. The uterine nodule was diagnosed as ESN since there was no myometrial or vascular invasion.
Discussion: Endometrial stromal sarcomas pose a diagnostic challenge at extra-uterine sites. Malignant mixed mullerian tumor and sex cord stromal tumor are close differential diagnoses. The other problem is deciding whether the tumor is primary or secondary. The problem of diagnosis is compounded if the presentation is cystic.
Conclusion: We concluded that primary ovarian ESS should be diagnosed after excluding possible metastatic spread from uterine ESS. In cases with an uterine nodule, the periphery of the lesion should be thoroughly sampled to exclude ESS. We also suggest that an ovarian cyst is not necessarily epithelial.

Key words: endometrial stromal sarcoma, endometrial stromal nodule, cyst


 
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How to Cite this Article
Pubmed Style

Mukherjee S, Dey S, Paul PC, Datta S, Bhattacharya A. Endometrial stromal sarcoma presenting as an ovarian cyst – A case report . SEAJCRR. 2013; 2(2): 139-144.


Web Style

Mukherjee S, Dey S, Paul PC, Datta S, Bhattacharya A. Endometrial stromal sarcoma presenting as an ovarian cyst – A case report . http://www.seajcrr.com//?mno=36397 [Access: December 12, 2017].


AMA (American Medical Association) Style

Mukherjee S, Dey S, Paul PC, Datta S, Bhattacharya A. Endometrial stromal sarcoma presenting as an ovarian cyst – A case report . SEAJCRR. 2013; 2(2): 139-144.



Vancouver/ICMJE Style

Mukherjee S, Dey S, Paul PC, Datta S, Bhattacharya A. Endometrial stromal sarcoma presenting as an ovarian cyst – A case report . SEAJCRR. (2013), [cited December 12, 2017]; 2(2): 139-144.



Harvard Style

Mukherjee, S., Dey, S., Paul, P. C., Datta, S. & Bhattacharya, A. (2013) Endometrial stromal sarcoma presenting as an ovarian cyst – A case report . SEAJCRR, 2 (2), 139-144.



Turabian Style

Mukherjee, Sumana, Soumit Dey, Prabir Chandra Paul, Saikat Datta, and Aparna Bhattacharya. 2013. Endometrial stromal sarcoma presenting as an ovarian cyst – A case report . The Southeast Asian Journal of Case Report and Review, 2 (2), 139-144.



Chicago Style

Mukherjee, Sumana, Soumit Dey, Prabir Chandra Paul, Saikat Datta, and Aparna Bhattacharya. "Endometrial stromal sarcoma presenting as an ovarian cyst – A case report ." The Southeast Asian Journal of Case Report and Review 2 (2013), 139-144.



MLA (The Modern Language Association) Style

Mukherjee, Sumana, Soumit Dey, Prabir Chandra Paul, Saikat Datta, and Aparna Bhattacharya. "Endometrial stromal sarcoma presenting as an ovarian cyst – A case report ." The Southeast Asian Journal of Case Report and Review 2.2 (2013), 139-144. Print.



APA (American Psychological Association) Style

Mukherjee, S., Dey, S., Paul, P. C., Datta, S. & Bhattacharya, A. (2013) Endometrial stromal sarcoma presenting as an ovarian cyst – A case report . The Southeast Asian Journal of Case Report and Review, 2 (2), 139-144.



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The articles in The Southeast Asian Journal of Case Report and Review are open access articles licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-sa/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.