Endometrial Stromal Tumor Mimicking Fibroid Uterus

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IJCP Editorial Team

Published On: 21 Jul, 2023 12:12 PM | Updated On: 21 Jul, 2023 12:55 PM

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.

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