IMR Press / EJGO / Volume 26 / Issue 1 / pii/2005124

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Case Report

Laparoscopic uterine artery dissection in an undiagnosed endometrial stromal sarcoma. Case Report

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1 Department Obstetrics and Gynecology; Endoscopic Training Center, Hospital Kladno, Czech Republic
2 Department of Obstetrics and Gynecology, Gynecologic Oncology Unit, Faculty Hospital Pilsen,  Czech Republic
Eur. J. Gynaecol. Oncol. 2005, 26(1), 111–112;
Published: 10 February 2005

We present a case of a 24 -year-old woman, gravida 0, with menometrorrhagia and pelvic pain. A uterine hemorrhagic fibroid was diagnosed after ultrasound and magnetic resonance imaging (MRI). The endometrial biopsy was negative for mahgnancy. Laparoscopic sentinel lymph node sampling, lavage, and myometrial -biopsy with negative results were performed before dissection of the uterine vessels. The final diagnosis of endometrial stromal sarcoma was made by myomectomy and hysterectomy one year later. This case should demonstrate the difficulty of making the right diagnosis of sarcoma before laparoscopic dissection of uterine vessels in patients with symptomatic fibroids.

Uterine sarcoma
Uterine artery occlusion
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