A case of advanced-stage endometrial stromal sarcoma of the ovary arising from endometriosis

• Published in: Obstetrics & gynecology science Vol. 59; no. 4; pp. 323 - 327
• Main Authors: Back, Ju A, Choi, Myeong Gyune, Ju, U Chul, Kang, Woo Dae, Kim, Seok Mo
• Format: Journal Article
• Language: English
• Published: Korea (South) Korean Society of Obstetrics and Gynecology; Korean Society of Contraception and Reproductive Health; Korean Society of Gynecologic Endocrinology; Korean Society of Gynecologic Endoscopy and Minimal Invasive Surgery; Korean Society of Maternal Fetal Medicine; Korean Society of Ultrasound in Obstetrics and Gynecology; Korean Urogynecologic Society 01.07.2016; 대한산부인과학회
• Subjects: Case Report; 산부인과학; Ovary; Endometriosis; Endometrial stromal sarcoma
• ISSN: 2287-8572; 2287-8580
• DOI: 10.5468/ogs.2016.59.4.323

Endometrial stromal sarcoma (ESS) is a rare malignancy. Development of extrauterine ESS form endometriosis is particularly rare. The majority of extrauterine ESS occurs in areas with preexisting endometriosis. The most common site is the ovary. We experienced a case of ESS of the ovary that arose from endometriosis with multiple disseminated lesions. This disease was managed by total abdominal hysterectomy, bilateral salpingo-oophorectomy, both pelvic lymph nodes dissection, omentectomy, and appendectomy followed by postoperative high-dose progesterone therapy. Here, we report this case with literature review.