| خلاصه مقاله | Introduction
Undifferentiated sarcomas used to be considered a type of endometrial stromal
sarcoma, but since they are more aggressive and are treated differently from low- grade tumors, they are now considered separately. These cancers make up less
than 1% of all uterine cancers and tend to have a poor outlook.
The most common age of uterine endometrial sarcomas is 45-54 years old Abnormal
bleeding or spotting, Vaginal discharge, Pelvic pain and/or a mass are the most
common signs and symptoms of uterine sarcomas.
Sampling and testing endometrial tissue, Transvaginal ultrasound, Computed
tomography, Magnetic resonance imaging are the tests for diagnosis the sarcoma.
Surgery to remove the uterus, fallopian tubes, and ovaries and sample the lymph
nodes is the main treatment for uterine sarcomas. Sometimes this is followed by
treatment with radiation, chemotherapy or hormone therapy. Pelvic radiation therapy, race and RB gene changes are risk factors of uterine
sarcoma
Case presentation:
A 28years old woman G2P2(NVD) refers to gynecologic clinic in azarshahr hospital
with huge abdominal mass and irregular menses from 6month ago. A large myoma
was reported on ultrasound study and a huge mass approximately 30*25 cm with
probability of ovarian cancer was shown on CT scan results. The contraception was
IUD and she had history of malignant diseases in her family
The patient underwent a laparotomy for cystectomy with no permission to
hysterectomy. The pathologic study of mass resection was undifferentiated
endometrial sarcoma The second laparotomy was down to complete hysterectomy
and bilateral oophorectomy and lymph node resection. Myometrium, cervix, one
side fallopian tube and omentum was involved widely. Then she referred to
chemotherapy, eventually after 6 months she was expired because of pulmonary
edema.
Conclusion:
Even though sarcomas are most common in middle age but also they may occur in
young women in high aggressive pattern. |