Primary Ovarian Endometrial Stromal Sarcoma with Rectal Metastasis: A Case Report

doi:10.12280/gjfckx.20250037

Abstract

Abstract:

Endometrial stromal sarcoma (ESS) is a rare pathological entity, and its primary occurrence in the ovary is exceptionally uncommon, with limited cases reported in the literature. This report presents a case of primary ovarian ESS in a patient admitted for a pelvic mass incidentally detected during routine examination. The patient was asymptomatic, and imaging revealed bilateral adnexal masses, initially suspected to be of sex cord-stromal origin. Surgical intervention included total hysterectomy with bilateral salpingo-oophorectomy(incorporating left ovarian mass excision), right pelvic mass excision, and rectal surface nodule resection. Histopathological examination confirmed the diagnosis of ovarian ESS with rectal metastasis. Postoperatively, the patient received one cycle of liposomal doxorubicin hydrochloride chemotherapy.

Key words: Ovary, Sarcoma, endometrial stromal, Diagnosis, Therapy, Prognosis

YUAN Meng, LI Jun-fen, WU Yue-xiao, YANG Yong-xiu. Primary Ovarian Endometrial Stromal Sarcoma with Rectal Metastasis: A Case Report[J]. Journal of International Obstetrics and Gynecology, 2025, 52(4): 439-442.

Figures/Tables 2

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