Endometrial stromal sarcoma: An aggressive uterine malignancy.

Endometrial stromal sarcoma: An aggressive uterine malignancy DOI: https://doi.org/10.3941/jrcr.v10i9.2770Keywords: MRI, Uterus, Endometrial stromal sarcomas, undifferentiated endometrial sarcomas, high grade sarcomas, uterine mesenchymal neoplasms, myometrial bandsAbstract 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.Downloads Published Issue Section License Copyright (c) 2024 Journal of Radiology Case Reports This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. The publisher holds the copyright to the published articles and contents. However, the articles in this journal are open-access articles distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License, which permits reproduction and distribution, provided the original work is properly cited. The publisher and author have the right to use the text, images and other multimedia contents from the submitted work for further usage in affiliated programs. Commercial use and derivative works are not permitted, unless explicitly allowed by the publisher.