Endometrial stromal nodule: a rare entity presenting as fibroid polyp

Priyanka Baghotia, Monika Madaan, Mukta Pujani, Neha Soni


Endometrial stromal sarcoma are rare malignant tumours of the uterus, mainly presenting in premenopausal women, make around 0.2% of all uterine malignancies. The annual incidence of ESS is 1-2 per million women. Diagnosis is usually made post operatively by pathological findings either in endometrial sample or in hysterectomy specimen done for some underlying pathology. Management is total hysterectomy with bilateral salpingo oophorectomy with hormone therapy in hormone sensitive cases. Ovaries can be preserved in young females with early-stage disease. We are presenting a case of endometrial stromal nodule in a 38 years old woman who presented to us with complaint of abnormal heavy uterine bleeding for one and half month. 


Pedunculated, Polypectomy, Immunohistochemistry

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Landreat V, Paillocher N, Catala L, Foucher F, Descamps P, Levêque J. Low Grade Endometrial Stromal Sarcoma of the uterus: Review of 10 cases. Anticancer Res. 2008;28:2869-74.

Matsuura Y, Yasungag K, Kuroki H, Inagaki H, Kashimura M. Low-grade endometrial stromal sarcoma recurring with multiple bone and lung metastases: report of a case. Gynecol Oncol. 2004;92:995-8.

Aubry MC, Myers JL, Colby TV, Leslie KO, Tazelaar HD. Endometrial Stromal Sarcoma Metastatic to the lung: A detailed analysis of 16 patients. Am J Surg Pathol. 2002;26:440-9.

Nicolas ML, Cathro HP, Kerr SE, Stelow EB. Cytomorphologic features of low-grade endometrial stromal sarcoma. AJR Am J ClinPathol. 2007;128:265-71.

Baker P, Oliva E. Endometrial stromal tumours of the uterus: A practical approach using conventional morphology and ancillary techniques. J Clin Pathol. 2007;60:235-43.

NCCN Clinical practice guidelines in oncology. Uterine neoplasms. 2009;2.

Linder T, Pink D, Kretzschmar A, Mrozek A, Patience PC, Reichardt P. Hormone treatment of endometrial stromal sarcomas: A possible indication for aromatase inhibitors. J Clin Oncol. 2005;23:16S-9057.