Michalas S, Creatsas G, Deligeoroglou E, Markaki S
First Department of Obstetrics and Gynecology, University of Athens Medical School, Greece.
Gynecol Oncol. 1994 Jul;54(1):95-8. doi: 10.1006/gyno.1994.1173.
Endometrial stromal sarcoma (ESS) is a rare uterine malignancy with a variety of morphologic characteristics and clinical courses. We describe a case of high-grade malignant ESS in an adolescent girl, arising in a rudimentary uterine horn and presenting symptoms of an acute abdomen. The patient underwent a total abdominal hysterectomy with bilateral salpingo-oophorectomy and omentectomy due to a stage IVA high-grade ESS. An adjuvant chemotherapy and radiotherapy treatment was recommended, but 10 days after her discharge the condition of the patient deteriorated, with diffused metastases into the lungs and the abdomen, and finally she succumbed to the disease 1 month after her first admission to the hospital.
子宫内膜间质肉瘤（ESS）是一种罕见的子宫恶性肿瘤，具有多种形态学特征和临床病程。我们描述了一例发生在青春期女孩残角子宫的高级别恶性ESS病例，该病例表现为急腹症症状。由于处于IVA期高级别ESS，患者接受了全腹子宫切除术、双侧输卵管卵巢切除术和大网膜切除术。建议进行辅助化疗和放疗，但患者出院10天后病情恶化，出现肺和腹部的弥漫性转移，最终在首次入院1个月后死于该疾病。
