Wide Spread Low Grade Endometrial Stromal Sarcoma

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Professor, Consultant Pathologist, American Board Certified Pathologist, Fellow College of American Pathologists. Areas of interest Fine Needle Aspiration Cytology, Cytology, Cancer, Ethics, Islam, Humanity

Wide Spread Low Grade Endometrial Stromal Sarcoma

Anum Usman, Noor Khan Lakhnana and Humaira Zafar
Al Nafees Medical College & Hospital, Islamabad


Abstract: Endometrial stromal sarcoma is an unusual malignant neoplasm of the uterus. It mainly occurs in the age of 40–50 years. It accounts 2 to 6% of uterine malignancies. Usually, the diagnosis is confirmed postoperatively. Common symptoms are abnormal vaginal bleeding, abdominal mass and mild abdominal pain. We report a case of endometrial stromal sarcoma in a 40 years old woman. Biopsy specimens were received at the pathology lab of ANMCH. She presented with abnormal vaginal bleeding since 4 months. Histopathological findings confirmed the diagnosis of endometrial stromal sarcoma which was then confirmed on immunohistochemistry. We aimed to present a case of endometrial stromal sarcoma because of its rare occurrence and problems in establishing histopathological diagnosis
Key Words: Endometrial stromal sarcoma, Uterine malignancy


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