Olgu Sunumu
BibTex RIS Kaynak Göster

Ciddi Aneminin Beklenmeyen Bir Nedeni: Endometrial Stromal Sarkoma; Olgu Sunumu

Yıl 2022, , 31 - 34, 29.03.2022
https://doi.org/10.46969/ezh.928000

Öz

Endometrial stromal sarkom (ESS), genellikle perimenopozal kadınlarda görülen uterusun nadir bir malign tümörüdür. Bu olguda akut ağır vajinal kanama ve şiddetli anemi ile başvuran 42 yaşında jinekolojik muayeneyi ve endometriyal örneklemeyi reddeden bir kadın hastayı ele aldık. Transabdominal ultrasonografik değerlendirmede uterusun fundal bölgesinde 9x6 cm boyutlarında intramural submuköz kitle tespit edildi. ESS tanısı, ameliyat öncesi leiomyom olduğu düşünülen tümörün frozen kesiti ile tesadüfen konuldu. Jinekolojik Onkoloji Bölümü ile intraoperatif konsültasyon sonrası total histerektomi ve bilateral salpenjektomi yapıldı. Nihai patolojik raporun ardından hastaya tedavinin sonlandırılması için bilateral ooferektomi önerildi.

Destekleyen Kurum

Destekleyen kurum bulunmamaktadır.

Kaynakça

  • Tropé CG, Abeler VM, and Kristensen GB. Diagnosis and treatment of sarcoma of the uterus. A review. Acta Oncol. 2012 ;51(6):694-705.
  • Female Genital Tumours: WHO Classification of Tumours, 5th ed.; IARC Publications: Lyon, France, 2020. Akaev, I., Chit Cheng Y., and Siavash Rahimi. Update on Endometrial Stromal Tumours of the Uterus. Diagnostics 11.3 (2021): 429.
  • Li A J, Giuntoli RL, Drake R. et al. Ovarian preservation in stage I low-grade endometrial stromal sarcomas. Obstet Gynecol 2005 Dec;106(6):1304-1308.
  • Jain R, Batra S, Ahmad A , et al. Low grade endometrial stromal sarcoma: a case report. Iran J Med Sci. 2015 Jan; 40(1): 81–84.
  • Horng H C, Wen KC, Wang PH., et al. Uterine sarcoma Part II—Uterine endometrial stromal sarcoma: The TAG systematic review. Taiwan J Obstet Gynecol 2016 Aug;55(4):472-9.
  • Wang PH, Horng HC, Chen CP. Is it safe to use minimally invasive surgery in the management of endometrial cancer? Taiwan J Obstet Gynecol. 2016 Apr;55(2):155-6.
  • Amant F, Floquet A, Friedlander M et al. Gynecologic Cancer InterGroup (GCIG) consensus review for endometrial stromal sarcoma. Int J Gynecol Cancer 2014 Nov; 24(9 Suppl 3):S67-72.
  • ESMO/European Sarcoma Network Working Group. Soft tissue and visceral sarcomas: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol 25 2014: iii102-iii112.
  • Ayhan A, Toptaş T, Oz M et al. Low-grade endometrial stromal sarcoma: A Turkish uterine sarcoma group study analyzing prognostic factors and disease outcomes. Gynecol Oncol 160.3 2021: 674-680.

An Unexpected Cause of Severe Anemia: Endometrial Stromal Sarcoma; Case Report

Yıl 2022, , 31 - 34, 29.03.2022
https://doi.org/10.46969/ezh.928000

Öz

Endometrial stromal sarcoma (ESS) is a rare malignant tumour of the uterus that usually occurs in perimenopausal women. Such a case was a hospitalized 42-year-old woman with acute heavy vaginal bleeding and severe anaemia. The patient refused to have a gynaecological examination and endometrial sampling. However, during the transabdominal ultrasonographic evaluation, an intramural submucous mass of 9 cm × 6 cm was detected in the fundal area of the uterus. The diagnosis of ESS was discovered unexpectedly by examining a frozen section of the tumour that was thought to be leiomyoma preoperatively. After intraoperative consultation with the Gynaecologic Oncology Department, total hysterectomy and bilateral salpingectomy were performed. Once the final pathological report was presented, the patient was recommended to have bilateral oophorectomy in order to proceed with the treatment.

Kaynakça

  • Tropé CG, Abeler VM, and Kristensen GB. Diagnosis and treatment of sarcoma of the uterus. A review. Acta Oncol. 2012 ;51(6):694-705.
  • Female Genital Tumours: WHO Classification of Tumours, 5th ed.; IARC Publications: Lyon, France, 2020. Akaev, I., Chit Cheng Y., and Siavash Rahimi. Update on Endometrial Stromal Tumours of the Uterus. Diagnostics 11.3 (2021): 429.
  • Li A J, Giuntoli RL, Drake R. et al. Ovarian preservation in stage I low-grade endometrial stromal sarcomas. Obstet Gynecol 2005 Dec;106(6):1304-1308.
  • Jain R, Batra S, Ahmad A , et al. Low grade endometrial stromal sarcoma: a case report. Iran J Med Sci. 2015 Jan; 40(1): 81–84.
  • Horng H C, Wen KC, Wang PH., et al. Uterine sarcoma Part II—Uterine endometrial stromal sarcoma: The TAG systematic review. Taiwan J Obstet Gynecol 2016 Aug;55(4):472-9.
  • Wang PH, Horng HC, Chen CP. Is it safe to use minimally invasive surgery in the management of endometrial cancer? Taiwan J Obstet Gynecol. 2016 Apr;55(2):155-6.
  • Amant F, Floquet A, Friedlander M et al. Gynecologic Cancer InterGroup (GCIG) consensus review for endometrial stromal sarcoma. Int J Gynecol Cancer 2014 Nov; 24(9 Suppl 3):S67-72.
  • ESMO/European Sarcoma Network Working Group. Soft tissue and visceral sarcomas: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol 25 2014: iii102-iii112.
  • Ayhan A, Toptaş T, Oz M et al. Low-grade endometrial stromal sarcoma: A Turkish uterine sarcoma group study analyzing prognostic factors and disease outcomes. Gynecol Oncol 160.3 2021: 674-680.
Toplam 9 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Kadın Hastalıkları ve Doğum
Bölüm Olgu Sunumu
Yazarlar

Alperen Aksan Bu kişi benim 0000-0001-7623-3589

Burcu Gündoğdu Öztürk 0000-0002-2374-9706

Berna Dilbaz 0000-0003-1137-8650

Yayımlanma Tarihi 29 Mart 2022
Kabul Tarihi 29 Aralık 2021
Yayımlandığı Sayı Yıl 2022

Kaynak Göster

APA Aksan, A., Gündoğdu Öztürk, B., & Dilbaz, B. (2022). An Unexpected Cause of Severe Anemia: Endometrial Stromal Sarcoma; Case Report. Türk Kadın Sağlığı Ve Neonatoloji Dergisi, 4(1), 31-34. https://doi.org/10.46969/ezh.928000
AMA Aksan A, Gündoğdu Öztürk B, Dilbaz B. An Unexpected Cause of Severe Anemia: Endometrial Stromal Sarcoma; Case Report. Türk Kadın Sağlığı ve Neonatoloji Dergisi. Mart 2022;4(1):31-34. doi:10.46969/ezh.928000
Chicago Aksan, Alperen, Burcu Gündoğdu Öztürk, ve Berna Dilbaz. “An Unexpected Cause of Severe Anemia: Endometrial Stromal Sarcoma; Case Report”. Türk Kadın Sağlığı Ve Neonatoloji Dergisi 4, sy. 1 (Mart 2022): 31-34. https://doi.org/10.46969/ezh.928000.
EndNote Aksan A, Gündoğdu Öztürk B, Dilbaz B (01 Mart 2022) An Unexpected Cause of Severe Anemia: Endometrial Stromal Sarcoma; Case Report. Türk Kadın Sağlığı ve Neonatoloji Dergisi 4 1 31–34.
IEEE A. Aksan, B. Gündoğdu Öztürk, ve B. Dilbaz, “An Unexpected Cause of Severe Anemia: Endometrial Stromal Sarcoma; Case Report”, Türk Kadın Sağlığı ve Neonatoloji Dergisi, c. 4, sy. 1, ss. 31–34, 2022, doi: 10.46969/ezh.928000.
ISNAD Aksan, Alperen vd. “An Unexpected Cause of Severe Anemia: Endometrial Stromal Sarcoma; Case Report”. Türk Kadın Sağlığı ve Neonatoloji Dergisi 4/1 (Mart 2022), 31-34. https://doi.org/10.46969/ezh.928000.
JAMA Aksan A, Gündoğdu Öztürk B, Dilbaz B. An Unexpected Cause of Severe Anemia: Endometrial Stromal Sarcoma; Case Report. Türk Kadın Sağlığı ve Neonatoloji Dergisi. 2022;4:31–34.
MLA Aksan, Alperen vd. “An Unexpected Cause of Severe Anemia: Endometrial Stromal Sarcoma; Case Report”. Türk Kadın Sağlığı Ve Neonatoloji Dergisi, c. 4, sy. 1, 2022, ss. 31-34, doi:10.46969/ezh.928000.
Vancouver Aksan A, Gündoğdu Öztürk B, Dilbaz B. An Unexpected Cause of Severe Anemia: Endometrial Stromal Sarcoma; Case Report. Türk Kadın Sağlığı ve Neonatoloji Dergisi. 2022;4(1):31-4.