Endometrial Stromal Sarcoma Presenting as Prevesical Mass Mimicking Urachal Tumor.
10.3346/jkms.2009.24.3.529
- Author:
Seung Il JUNG
1
;
Sang Soo SHIN
;
Chan CHOI
;
Eu Chang HWANG
;
Sun Ouck KIM
;
Taek Won KANG
Author Information
1. Department of Urology, Chonnam National University Medical School, Gwangju, Korea. sydad@hanmail.net
- Publication Type:Case Report
- Keywords:
Sarcoma, Endometrial Stromal;
Endometriosis
- MeSH:
Diagnosis, Differential;
Endometrial Neoplasms/*diagnosis/pathology/ultrasonography;
Endometriosis/diagnosis;
Female;
Humans;
Hysterectomy;
Middle Aged;
Sarcoma, Endometrial Stromal/*diagnosis/pathology/ultrasonography;
Urachus/abnormalities;
Urinary Bladder Neoplasms/diagnosis
- From:Journal of Korean Medical Science
2009;24(3):529-531
- CountryRepublic of Korea
- Language:English
-
Abstract:
Endometrial stromal sarcoma (ESS) is a mesenchymal neoplasm that usually occurs as a primary tumor of the uterine corpus, but rarely arises in other sites, such as the ovary, pelvic cavity, mesentery, omentum and intestine. Herein, we present a rare case of low-grade ESS presented as prevesical mass. A 60-yr-old woman who had undergone total hysterectomy for endometriosis eleven years ago was presented with incidentally detected prevesical pelvic mass. Since malignant transformation of urachal remnants was possible, the mass was suspected to be a urachal tumor. Extraction of the mass was performed, and the histopathologic diagnosis was low-grade ESS. In summary, prevesical tumor is rare but in patients with endometriosis, we suggest endometriosis and its possible malignant changes should be taken into account in the differential diagnosis of prevesical mass.