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Alveolar soft part sarcoma presenting as a uterine polyp: A case report
Mariangela Gomez1, Kerry Whiting1, Rana Naous1
1Department of Pathology, SUNY Upstate Medical University, Syracuse, NY, USA.
SAGE Open Medical Case Reports
|March 18, 2020
Summary
Alveolar soft part sarcoma (ASPS) is a rare tumor. This case highlights ASPS presenting as a uterine polyp in a young woman, emphasizing its consideration in gynecological diagnoses.
Area of Science:
- Oncology
- Pathology
- Gynecology
Background:
- Alveolar soft part sarcoma (ASPS) is a rare malignant soft tissue tumor predominantly affecting adolescents and young adults, typically in the extremities.
- ASPS is notably uncommon within the female genital tract, making its occurrence there a significant clinical rarity.
Observation:
- A 20-year-old nulliparous woman presented with vaginal bleeding and severe anemia, necessitating blood transfusions.
- Initial ultrasonography identified a uterine polyp in the lower uterine segment.
Findings:
- Histopathological, immunohistochemical, and molecular analyses confirmed the uterine polyp to be an alveolar soft part sarcoma.
- The patient underwent a total hysterectomy for the condition.
Implications:
- This case underscores the importance of considering ASPS in the differential diagnosis of uterine polyps, particularly in young patients.
- Raising awareness of ASPS in gynecological presentations can aid in earlier diagnosis and appropriate management of this rare malignancy.
