Laparoscopic uterine artery dissection in an undiagnosed endometrial stromal sarcoma. Case report

We present a case of a 24-year-old woman, gravida 0, with menometrorrhagia and pelvic pain. A uterine hemorrhagic fibroid was diagnosed after ultrasound and magnetic resonance imaging (MRI). The endometrial biopsy was negative for malignancy. Laparoscopic sentinel lymph node sampling, lavage, and my...

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Bibliographic Details
Published inEuropean journal of gynaecological oncology Vol. 26; no. 1; p. 111
Main Authors Holub, Z, Rokyta, Z, Kliment, L
Format Journal Article
LanguageEnglish
Published Italy 2005
Subjects
Adult
Arteries - surgery
Diagnosis, Differential
Endometrial Neoplasms - complications
Endometrial Neoplasms - diagnosis
Endometrial Neoplasms - diagnostic imaging
Endometrial Neoplasms - pathology
Endometrial Neoplasms - surgery
Female
Humans
Laparoscopy - methods
Magnetic Resonance Imaging
Pelvic Pain - etiology
Sarcoma, Endometrial Stromal - complications
Sarcoma, Endometrial Stromal - diagnosis
Sarcoma, Endometrial Stromal - diagnostic imaging
Sarcoma, Endometrial Stromal - pathology
Sarcoma, Endometrial Stromal - surgery
Ultrasonography
Uterine Hemorrhage - etiology
Uterus - blood supply
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Summary:We present a case of a 24-year-old woman, gravida 0, with menometrorrhagia and pelvic pain. A uterine hemorrhagic fibroid was diagnosed after ultrasound and magnetic resonance imaging (MRI). The endometrial biopsy was negative for malignancy. Laparoscopic sentinel lymph node sampling, lavage, and myometrial biopsy with negative results were performed before dissection of the uterine vessels. The final diagnosis of endometrial stromal sarcoma was made by myomectomy and hysterectomy one year later. This case should demonstrate the difficulty of making the right diagnosis of sarcoma before laparoscopic dissection of uterine vessels in patients with symptomatic fibroids.
ISSN:0392-2936