Endometrial stromal sarcoma: An aggressive uterine malignancy

Authors

  • Chaitra P Adiga
  • Manju Gyanchandani
  • Lakshmikantha N Goolahally
  • Rishikesh M Itagi
  • Kiran V Kalenahalli

DOI:

https://doi.org/10.3941/jrcr.v10i9.2770

Keywords:

MRI, Uterus, Endometrial stromal sarcomas, undifferentiated endometrial sarcomas, high grade sarcomas, uterine mesenchymal neoplasms, myometrial bands

Abstract

Endometrial stromal sarcoma (ESS) is an aggressive uterine sarcoma.  We report a case of a large endometrial stromal sarcoma in a 42 year nulliparous woman with chronic kidney disease presenting with acute urinary retention and irregular per vaginal bleeding. Ultrasound and Doppler imaging revealed a heterogeneous mass in the endometrial cavity with internal vascularity. Magnetic resonance imaging (MRI) revealed a large lobulated mass in the endometrial cavity extending into the vagina, causing local mass effect. Multiple linear hypointense bands on magnetic resonance T2 weighted (T2wt) images were characteristic of ESS. MRI is a very useful imaging modality in characterizing the lesion and also for the staging. It is necessary to distinguish these tumors from benign as well as other uterine malignancies for better management. We also review relevant literature discussing imaging findings of ESS.

Author Biographies

Chaitra P Adiga

Department - Radiodiagnosis

Rank - Radiology resident

Manju Gyanchandani

Department - Radiodiagnosis

Rank - Consultant radiologist

Lakshmikantha N Goolahally

Department - Radiodiagnosis

Rank - Consultant radiologist

Rishikesh M Itagi

Department - Radiodiagnosis

Rank - Consultant radiologist

Kiran V Kalenahalli

Department - Radiodiganosis

Rank - Head of department

Journal of Radiology Case Reports September 2016 issue - Cover page: Impact of Isometric Contraction of Anterior Cervical Muscles on Cervical Lordosis by Curtis A Fedorchuk et al.

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Published

2016-09-24

Issue

Vol. 10 No. 9 (2016)

Section

Obstetric & Gynecologic Radiology

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