IMR Press / EJGO / Volume 32 / Issue 3 / pii/1630980235649-634000292

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
Proximal-type epithelioid sarcoma of the mons pubis: report of a case
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1 Department of Gynecological Science and Reproductive Medicine, University of Padova, Padova
2 Department of Medical Diagnostic Sciences and Special Therapies, Section of Pathology, University of Padova, Padova
3 Department of Gynecological Science and Reproductive Medicine, University of Sassari, Sassari (Italy)
Eur. J. Gynaecol. Oncol. 2011, 32(3), 339–342;
Published: 10 June 2011

Introduction: Proximal-type epithelioid sarcoma (PES) represents an extremely rare and aggressive form of soft tissue neoplasm, typically presenting as a painless subcutaneous nodule in the trunk often located in the genital area. Case report: A 46-year-old female was subjected to the excision of a growing soft tissue mass in the mons pubis that, at histology, was identified as PES. The tumor showed an extreme aggressiveness involving subsequently adjoining structures and lymph nodes despite subsequent wide surgical resections during the following months. Discussion: Gynecologists should pay careful attention to all soft tissue masses of the perineal area or external genitalia. It is important to know the possible genital localization of PES which, although rare, is an aggressive high-grade soft tissue tumor with a deceitful behavior, poorly sensitive to chemotherapy and radiotherapy. Surgery, though wide and demolitive, often fails to obtain the necessary radicality.
Epithelioid sarcoma
Soft tissue neoplasms
Female genitalia
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