Back Ju A, Choi Myeong Gyune, Ju U Chul, Kang Woo Dae, Kim Seok Mo
Department of Obstetrics and Gynecology, Chonnam National University Medical School, Gwangju, Korea.
Obstet Gynecol Sci. 2016 Jul;59(4):323-7. doi: 10.5468/ogs.2016.59.4.323. Epub 2016 Jul 13.
Endometrial stromal sarcoma (ESS) is a rare malignancy. Development of extrauterine ESS form endometriosis is particularly rare. The majority of extrauterine ESS occurs in areas with preexisting endometriosis. The most common site is the ovary. We experienced a case of ESS of the ovary that arose from endometriosis with multiple disseminated lesions. This disease was managed by total abdominal hysterectomy, bilateral salpingo-oophorectomy, both pelvic lymph nodes dissection, omentectomy, and appendectomy followed by postoperative high-dose progesterone therapy. Here, we report this case with literature review.
子宫内膜间质肉瘤（ESS）是一种罕见的恶性肿瘤。由子宫内膜异位症发展而来的子宫外ESS极为罕见。大多数子宫外ESS发生在已有子宫内膜异位症的部位。最常见的部位是卵巢。我们遇到一例起源于子宫内膜异位症并伴有多发播散性病变的卵巢ESS病例。该病例通过全腹子宫切除术、双侧输卵管卵巢切除术、盆腔淋巴结清扫术、大网膜切除术和阑尾切除术进行治疗，术后给予大剂量孕激素治疗。在此，我们结合文献复习报告该病例。
