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Conservative management of a myxoid endometrial stromal sarcoma in a 16-year-old nulliparous woman
Jaime L Stadsvold1, Kelly L Molpus, John J Baker
1Department of Radiology, University of Nebraska Medical Center, Omaha, NE 68198-3255, USA.
Background:
Sarcomas comprise less than 1% of all gynecological cancers and 2% to 5% of all uterine malignancies, of which endometrial stromal sarcoma accounts for approximately 15%. Surgery is fundamental in sarcoma management and a total hysterectomy is performed in the majority of cases.
Case:
Presented is a case of low-grade myxoid endometrial stromal sarcoma in a nulliparous adolescent female managed by local resection and uterine reconstruction.
Conclusion:
In selected cases, the initial management of a localized and well defined low-grade endometrial stromal sarcoma could potentially be conservative (uterine-sparing) surgical resection.