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To browse Academia. Endometrial stromal sarcomas originate in the endometrial cavity. These tumors represent between We present the case of a year-old woman who underwent surgical hysteroscopy for metrorrhagia over a period of one month who had an intrauterine polypoid mass detected by ultrasonography. Histologic analysis of the polypoid mass removed by hysteroscopy was a high-grade endometrial stromal sarcoma of the uterus.

The description of this case provides an opportunity to review the literature on uterine sarcomas diagnosed by surgical hysteroscopy.

Endometrial stromal sarcoma ESS is uncommon uterine malignant tumor and makes approximately 0. It is the rarest tumor in the group of mesenchymal uterine tumors. Diagnosis may be difficult, since differentiation between several soft-tissue uterine neoplasms such as highly cellular leiomyoma, cellular endometrial polyp, low-grade Mullerian carcinosarcoma and adenomyosis is tricky.

Treatment is surgical, hysterectomy and bilateral adnexectomy is obligatory, the role of lymphadenectomy is still controversial. Since ESS is hormone dependent tumor, hormone therapy as adjuvant therapy can be taken into consideration. In this article we present a yearold patient, clinically asymptomatic, with peculiar TV ultrasound feature, and ESS diagnosed on patho-histologically after operation due to presumed benign diagnosis.