Treatment of low-grade endometrial stromal sarcoma in a nulligravid woman

J Michael Straughn Jr; Teresa Boitano; Haller J Smith; Sarah E Dilley; Margaret I Liang; Lea Novak

doi:10.1016/j.ygyno.2018.05.027

Treatment of low-grade endometrial stromal sarcoma in a nulligravid woman

Gynecol Oncol. 2018 Oct;151(1):6-9. doi: 10.1016/j.ygyno.2018.05.027. Epub 2018 Jun 8.

Authors

J Michael Straughn Jr¹, Teresa Boitano², Haller J Smith², Sarah E Dilley², Margaret I Liang², Lea Novak³

Affiliations

¹ University of Alabama at Birmingham, Division of Gynecologic Oncology, United States. Electronic address: [email protected].
² University of Alabama at Birmingham, Division of Gynecologic Oncology, United States.
³ University of Alabama at Birmingham, Department of Pathology, United States.

PMID: 29887484
DOI: 10.1016/j.ygyno.2018.05.027

Abstract

A 32 year-old nulligravid woman with a uterine mass underwent exploratory laparotomy with myomectomy. Final pathology revealed a low-grade endometrial stromal sarcoma (ESS) with positive margins. She subsequently underwent definitive robotic hysterectomy and bilateral salpingectomy with ovarian preservation. She was diagnosed with a stage IB low-grade ESS. She is currently undergoing observation. Discussion of classification, surgical options, and adjuvant therapy is presented.

Publication types

Case Reports

MeSH terms

Adult
Biopsy
Chemotherapy, Adjuvant / methods
Endometrial Neoplasms / diagnostic imaging
Endometrial Neoplasms / pathology
Endometrial Neoplasms / therapy*
Endometrial Stromal Tumors / diagnostic imaging
Endometrial Stromal Tumors / pathology
Endometrial Stromal Tumors / therapy*
Fallopian Tubes / diagnostic imaging
Fallopian Tubes / surgery
Female
Fertility Preservation / methods
Humans
Hysterectomy
Laparoscopy / methods
Margins of Excision
Neoplasm Staging
Organ Sparing Treatments / methods*
Ovary / diagnostic imaging
Robotic Surgical Procedures / methods
Salpingectomy
Uterine Myomectomy
Uterus / diagnostic imaging
Uterus / pathology
Uterus / surgery