Primary ovarian endometrioid stromal sarcoma presenting with reno-ureteral colic

Abstract Background Endometrioid Stromal Sarcomas are an infrequent group of mesenchymal tumors that we must take into account in the differential diagnosis despite representing only 0.2% of tumors of the female genital tract, as they can go unnoticed until advanced stages. Case presentation Fifty-f...

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Main Authors: Ana Isabel Bueno Moral, José Carlos Vilches Jiménez, Carmen Martínez Bañón, Manuel Jesús Díaz Huesca, Miriam Valenzuela González, Jesús S. Jiménez López
Format: Article
Language:English
Published: BMC 2022-12-01
Series:BMC Women's Health
Subjects:
Online Access:https://doi.org/10.1186/s12905-022-02046-9
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author Ana Isabel Bueno Moral
José Carlos Vilches Jiménez
Carmen Martínez Bañón
Manuel Jesús Díaz Huesca
Miriam Valenzuela González
Jesús S. Jiménez López
author_facet Ana Isabel Bueno Moral
José Carlos Vilches Jiménez
Carmen Martínez Bañón
Manuel Jesús Díaz Huesca
Miriam Valenzuela González
Jesús S. Jiménez López
author_sort Ana Isabel Bueno Moral
collection DOAJ
description Abstract Background Endometrioid Stromal Sarcomas are an infrequent group of mesenchymal tumors that we must take into account in the differential diagnosis despite representing only 0.2% of tumors of the female genital tract, as they can go unnoticed until advanced stages. Case presentation Fifty-fourth year-old woman referred from the Urology department due to incidental finding of adnexal mass in MRI during examination after renoureteral colic, in the case of a 50 mm solid cystic mass in LE. MT were within the normal range, and the CT scan observed this mass in contact with the left ureter. The surgery was completed with hysterectomy and contralateral adnexectomy without incident and chemotherapy treatment was not added. The pathological result was ovarian tissue with low-grade endometrial sarcoma. Currently, after two years of follow-up, the patient remains stable without any recurrence of disease. Conclusions Endometrioid stromal sarcomas are rare tumors that originate in the endometrial stroma, the ovarian location being rare. Management lies in surgical treatment, and adjuvant therapy is sometimes necessary in advanced stages.
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spelling doaj.art-10627b7987dc4fbe829212cb0096e1292022-12-22T04:17:35ZengBMCBMC Women's Health1472-68742022-12-012211510.1186/s12905-022-02046-9Primary ovarian endometrioid stromal sarcoma presenting with reno-ureteral colicAna Isabel Bueno Moral0José Carlos Vilches Jiménez1Carmen Martínez Bañón2Manuel Jesús Díaz Huesca3Miriam Valenzuela González4Jesús S. Jiménez López5Department of Obstetrics and Gynaecology, Regional University HospitalDepartament of Gynaecology and Gynaecological Oncology, Hospital Quiron SaludDepartment of Obstetrics and Gynaecology, Regional University HospitalDepartment of Obstetrics and Gynaecology, Regional University HospitalDepartament of Pathological Anatomy, Regional University HospitalDepartment of Obstetrics and Gynaecology, Regional University HospitalAbstract Background Endometrioid Stromal Sarcomas are an infrequent group of mesenchymal tumors that we must take into account in the differential diagnosis despite representing only 0.2% of tumors of the female genital tract, as they can go unnoticed until advanced stages. Case presentation Fifty-fourth year-old woman referred from the Urology department due to incidental finding of adnexal mass in MRI during examination after renoureteral colic, in the case of a 50 mm solid cystic mass in LE. MT were within the normal range, and the CT scan observed this mass in contact with the left ureter. The surgery was completed with hysterectomy and contralateral adnexectomy without incident and chemotherapy treatment was not added. The pathological result was ovarian tissue with low-grade endometrial sarcoma. Currently, after two years of follow-up, the patient remains stable without any recurrence of disease. Conclusions Endometrioid stromal sarcomas are rare tumors that originate in the endometrial stroma, the ovarian location being rare. Management lies in surgical treatment, and adjuvant therapy is sometimes necessary in advanced stages.https://doi.org/10.1186/s12905-022-02046-9Ovarian sarcomaReno-ureteral colicOvarian cancerEndometrial stromal sarcomas
spellingShingle Ana Isabel Bueno Moral
José Carlos Vilches Jiménez
Carmen Martínez Bañón
Manuel Jesús Díaz Huesca
Miriam Valenzuela González
Jesús S. Jiménez López
Primary ovarian endometrioid stromal sarcoma presenting with reno-ureteral colic
BMC Women's Health
Ovarian sarcoma
Reno-ureteral colic
Ovarian cancer
Endometrial stromal sarcomas
title Primary ovarian endometrioid stromal sarcoma presenting with reno-ureteral colic
title_full Primary ovarian endometrioid stromal sarcoma presenting with reno-ureteral colic
title_fullStr Primary ovarian endometrioid stromal sarcoma presenting with reno-ureteral colic
title_full_unstemmed Primary ovarian endometrioid stromal sarcoma presenting with reno-ureteral colic
title_short Primary ovarian endometrioid stromal sarcoma presenting with reno-ureteral colic
title_sort primary ovarian endometrioid stromal sarcoma presenting with reno ureteral colic
topic Ovarian sarcoma
Reno-ureteral colic
Ovarian cancer
Endometrial stromal sarcomas
url https://doi.org/10.1186/s12905-022-02046-9
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