Endometrial stromal tumor in a young nulliparous women mimicking fibroid uterus – A case report

Abstract

Endometrial stromal tumor is a rare malignant tumor seen in perimenopausal women. This is a case of endometrial stromal tumour in a young nulliparous woman around her early thirties mimicking Fibroid uterus. She presented with a 34 weeks size mass abdomen with six months duration without any menstrual irregularities. The mass was diagnosed to be a huge sub serous fibroid by both clinical and ultrasonographic examination. MRI revealed a well demarcated, pedunculated mass in the uterine cavity. After the pre operative work up, she was planned for myomectomy where intraoperatively a huge mushroom shaped firm mass was seen arising from the fundus of the uterus with a pedicle which was deep-rooted into the uterus. Histopathological examination of mass confirmed as a Low grade endometrial stromal sarcoma. CT scan was done and revealed no metastatic lesion.