Endometrial Stromal Tumor Mimicking Fibroid Uterus
A report describes a case of a 34-years young, nulliparous woman who presented with a 34 weeks size mass abdomen which was of 6 months duration. She documented regular menstrual cycles and being married for six months.
General examination, Cardiovascular and respiratory systemic examination revealed no abnormalities. Abdominal examination showed a uniformly enlarged uterus resembling 34 weeks' size, firm in consistency and immobile. Per speculum examination indicated a healthy cervix.
Bimanual per vaginal examination revealed a firm and globular mass. The patient's Cervix was high up, her uterus uniformly enlarged, immobile, non-tender, and without fornical tenderness.
The patient's Blood investigations were normal. Ultrasound revealed a 20 x 21.2 cm huge subserous fibroid. MRI showed a well-demarcated, pedunculated mass in the uterine cavity.
The patient underwent myomectomy, where the intraoperative findings showed a huge mushroom-shaped firm mass arising from the fundus of the uterus with a pedicle that was deep-rooted into the uterus. The uterus was bulky with normal bilateral adnexa. The lump was removed, and the muscular wall of the uterus was closed.
Histopathology confirmed the mass as a Low-grade Endometrial stromal sarcoma. The follow-up CT examination did not reveal any metastatic lesion.
Samal S, Mathumitha K, Priya S, Sen M, Prabhu J K. Endometrial stromal tumor in a young nulliparous women mimicking fibroid uterus – A case report. Indian J Obstet Gynecol Res 2023;10(2):211-213.
Medtalks is India's fastest growing Healthcare Learning and Patient Education Platform designed and developed to help doctors and other medical professionals to cater educational and training needs and to discover, discuss and learn the latest and best practices across 100+ medical specialties. Also find India Healthcare Latest Health News & Updates on the India Healthcare at Medtalks
Please login to comment on this article