A case of ovarian endometrial stromal sarcoma: Radiological and histopathological findings
Endometrial stromal sarcoma (ESS) is an uncommon uterine mesenchymal neoplasm. The primary extra-uterine location of ESS is a very rare occurrence.We present a case of a 39-year-old woman presented with severe abdominal pain, MRI showed bilateral ovarian tumors with heterogeneous intensity on T2-wei...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-10-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043323004673 |
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| author | Meryem Sqalli Houssaini, MD Meriem Haloua, PhD Abdelaali Yahya Mourabiti, MD Layla Tahiri, PhD Fatima Zohra Fdili Alaoui, PhD Amal Akammar, PhD Nizar El Bouardi, PhD Badreedine Alami, PhD Moulay Youssef Alaoui Lamrani, PhD Mustapha Maaroufi, PhD Meryem Boubbou, PhD |
| author_facet | Meryem Sqalli Houssaini, MD Meriem Haloua, PhD Abdelaali Yahya Mourabiti, MD Layla Tahiri, PhD Fatima Zohra Fdili Alaoui, PhD Amal Akammar, PhD Nizar El Bouardi, PhD Badreedine Alami, PhD Moulay Youssef Alaoui Lamrani, PhD Mustapha Maaroufi, PhD Meryem Boubbou, PhD |
| author_sort | Meryem Sqalli Houssaini, MD |
| collection | DOAJ |
| description | Endometrial stromal sarcoma (ESS) is an uncommon uterine mesenchymal neoplasm. The primary extra-uterine location of ESS is a very rare occurrence.We present a case of a 39-year-old woman presented with severe abdominal pain, MRI showed bilateral ovarian tumors with heterogeneous intensity on T2-weighted imaging (T2WI) and T1-weighted imaging (T1WI), with restricted diffusion, including hyperintense areas on T1WI, not erased on T1-weighted fat-suppressed imaging, hypointense on T2WI, and not enhanced after contrast. This mass extended to the Douglas and invaded the uterine and the rectum serosa suggesting an underlying endometriosis. No abnormalities were suspected in the endometrium.The exploration revealed a friable mass arising from ovaries associated with nodules in the small intestine and sigmoid. The patient underwent bilateral adnexectomy and the anatomopathological study revealed a low-grade endometrial stromal sarcoma.This is one of the few reports covering the radiological features of low-grade extra-uterine ESS in the ovary which is probably secondary to degeneration of endometriosis with no evidence of primary uterine ESS. |
| first_indexed | 2024-03-12T13:37:23Z |
| format | Article |
| id | doaj.art-77323cd3bfcf48aba5b6797cb1a0211f |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-03-12T13:37:23Z |
| publishDate | 2023-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-77323cd3bfcf48aba5b6797cb1a0211f2023-08-24T04:34:33ZengElsevierRadiology Case Reports1930-04332023-10-01181035293534A case of ovarian endometrial stromal sarcoma: Radiological and histopathological findingsMeryem Sqalli Houssaini, MD0Meriem Haloua, PhD1Abdelaali Yahya Mourabiti, MD2Layla Tahiri, PhD3Fatima Zohra Fdili Alaoui, PhD4Amal Akammar, PhD5Nizar El Bouardi, PhD6Badreedine Alami, PhD7Moulay Youssef Alaoui Lamrani, PhD8Mustapha Maaroufi, PhD9Meryem Boubbou, PhD10Child and Mother Department of Radiology, Hassan II University Hospital, Fez, Morocco; Corresponding author.Child and Mother Department of Radiology, Hassan II University Hospital, Fez, MoroccoCentral Department of Radiology, Hassan II University Hospital, Fez, MoroccoDepartment of Pathology, Hassan II University Hospital, Fez, MoroccoDepartment of Gynecology, Hassan II University Hospital, Fez, MoroccoChild and Mother Department of Radiology, Hassan II University Hospital, Fez, MoroccoCentral Department of Radiology, Hassan II University Hospital, Fez, MoroccoCentral Department of Radiology, Hassan II University Hospital, Fez, MoroccoCentral Department of Radiology, Hassan II University Hospital, Fez, MoroccoCentral Department of Radiology, Hassan II University Hospital, Fez, MoroccoChild and Mother Department of Radiology, Hassan II University Hospital, Fez, MoroccoEndometrial stromal sarcoma (ESS) is an uncommon uterine mesenchymal neoplasm. The primary extra-uterine location of ESS is a very rare occurrence.We present a case of a 39-year-old woman presented with severe abdominal pain, MRI showed bilateral ovarian tumors with heterogeneous intensity on T2-weighted imaging (T2WI) and T1-weighted imaging (T1WI), with restricted diffusion, including hyperintense areas on T1WI, not erased on T1-weighted fat-suppressed imaging, hypointense on T2WI, and not enhanced after contrast. This mass extended to the Douglas and invaded the uterine and the rectum serosa suggesting an underlying endometriosis. No abnormalities were suspected in the endometrium.The exploration revealed a friable mass arising from ovaries associated with nodules in the small intestine and sigmoid. The patient underwent bilateral adnexectomy and the anatomopathological study revealed a low-grade endometrial stromal sarcoma.This is one of the few reports covering the radiological features of low-grade extra-uterine ESS in the ovary which is probably secondary to degeneration of endometriosis with no evidence of primary uterine ESS.http://www.sciencedirect.com/science/article/pii/S1930043323004673Endometrial stromal sarcomaOvaryMRICTHistopathological |
| spellingShingle | Meryem Sqalli Houssaini, MD Meriem Haloua, PhD Abdelaali Yahya Mourabiti, MD Layla Tahiri, PhD Fatima Zohra Fdili Alaoui, PhD Amal Akammar, PhD Nizar El Bouardi, PhD Badreedine Alami, PhD Moulay Youssef Alaoui Lamrani, PhD Mustapha Maaroufi, PhD Meryem Boubbou, PhD A case of ovarian endometrial stromal sarcoma: Radiological and histopathological findings Radiology Case Reports Endometrial stromal sarcoma Ovary MRI CT Histopathological |
| title | A case of ovarian endometrial stromal sarcoma: Radiological and histopathological findings |
| title_full | A case of ovarian endometrial stromal sarcoma: Radiological and histopathological findings |
| title_fullStr | A case of ovarian endometrial stromal sarcoma: Radiological and histopathological findings |
| title_full_unstemmed | A case of ovarian endometrial stromal sarcoma: Radiological and histopathological findings |
| title_short | A case of ovarian endometrial stromal sarcoma: Radiological and histopathological findings |
| title_sort | case of ovarian endometrial stromal sarcoma radiological and histopathological findings |
| topic | Endometrial stromal sarcoma Ovary MRI CT Histopathological |
| url | http://www.sciencedirect.com/science/article/pii/S1930043323004673 |
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