Low-grade sarcoma of the cervix: an unusual diagnosis

Introduction: Low-grade endometrial stromal sarcoma is a tumor that represents less than one percent of all uterine malignancies. It is mostly diagnosed between 40 and 55 years of age, it has slow growth, with extrauterine dissemination in 40 and up to 50% of cases at the time of diagnosis. Patient...

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Main Authors: Maurice José González Basulto, Gustavo de Jesús Crespo Campo, Dayan Cervantes Peláez
Format: Article
Language:Spanish
Published: Editorial Ciencias Médicas 2024-01-01
Series:Acta Médica del Centro
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Online Access:https://revactamedicacentro.sld.cu/index.php/amc/article/view/1918
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author Maurice José González Basulto
Gustavo de Jesús Crespo Campo
Dayan Cervantes Peláez
author_facet Maurice José González Basulto
Gustavo de Jesús Crespo Campo
Dayan Cervantes Peláez
author_sort Maurice José González Basulto
collection DOAJ
description Introduction: Low-grade endometrial stromal sarcoma is a tumor that represents less than one percent of all uterine malignancies. It is mostly diagnosed between 40 and 55 years of age, it has slow growth, with extrauterine dissemination in 40 and up to 50% of cases at the time of diagnosis. Patient information: 72-year-old woman, with a history of high blood pressure, type 2 diabetes mellitus and surgery for fibroid, along with necrobiosis, who had to undergo total abdominal hysterectomy with double adnexectomy. As a result of the biopsy, submucosal and subserosal intramural leiomyomas with areas of necrosis and hemorrhages were detected. Subsequently, in August 2022, she presented scant bleeding, so she was sent to the Neck Pathology Consultation. She underwent video colposcopy with an exophytic lesion in the vaginal vault. The patient returned to the center due to a tumor measuring ±6 to 8 cm, violaceous, protruding through the vulvar introitus, coming from the vaginal vault and accompanied by bleeding, and friable. The biopsy result determined a low-grade sarcoma-type malignant mesenchymal tumor with two foci of necrosis. Conclusions: Uterine cancer is the most common gynecological malignancy. On the other hand, low-grade endometrial stromal sarcoma is a very unusual tumor that ranks second among uterine mesenchymal tumors.
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spelling doaj-art-3ee6915bcfa54f03bf969c2c5a8be3202025-02-05T02:08:57ZspaEditorial Ciencias MédicasActa Médica del Centro2709-79272024-01-01181e1918e19181222Low-grade sarcoma of the cervix: an unusual diagnosisMaurice José González Basulto0Gustavo de Jesús Crespo Campo1Dayan Cervantes Peláez2Universidad de Ciencias Médicas de CamagüeyHospital Provincial Oncológico Universitario “María Curie”Hospital Provincial Oncológico Universitario “María Curie”Introduction: Low-grade endometrial stromal sarcoma is a tumor that represents less than one percent of all uterine malignancies. It is mostly diagnosed between 40 and 55 years of age, it has slow growth, with extrauterine dissemination in 40 and up to 50% of cases at the time of diagnosis. Patient information: 72-year-old woman, with a history of high blood pressure, type 2 diabetes mellitus and surgery for fibroid, along with necrobiosis, who had to undergo total abdominal hysterectomy with double adnexectomy. As a result of the biopsy, submucosal and subserosal intramural leiomyomas with areas of necrosis and hemorrhages were detected. Subsequently, in August 2022, she presented scant bleeding, so she was sent to the Neck Pathology Consultation. She underwent video colposcopy with an exophytic lesion in the vaginal vault. The patient returned to the center due to a tumor measuring ±6 to 8 cm, violaceous, protruding through the vulvar introitus, coming from the vaginal vault and accompanied by bleeding, and friable. The biopsy result determined a low-grade sarcoma-type malignant mesenchymal tumor with two foci of necrosis. Conclusions: Uterine cancer is the most common gynecological malignancy. On the other hand, low-grade endometrial stromal sarcoma is a very unusual tumor that ranks second among uterine mesenchymal tumors.https://revactamedicacentro.sld.cu/index.php/amc/article/view/1918neoplasias del cuello uterinodiagnóstico diferencialbiopsia
spellingShingle Maurice José González Basulto
Gustavo de Jesús Crespo Campo
Dayan Cervantes Peláez
Low-grade sarcoma of the cervix: an unusual diagnosis
Acta Médica del Centro
neoplasias del cuello uterino
diagnóstico diferencial
biopsia
title Low-grade sarcoma of the cervix: an unusual diagnosis
title_full Low-grade sarcoma of the cervix: an unusual diagnosis
title_fullStr Low-grade sarcoma of the cervix: an unusual diagnosis
title_full_unstemmed Low-grade sarcoma of the cervix: an unusual diagnosis
title_short Low-grade sarcoma of the cervix: an unusual diagnosis
title_sort low grade sarcoma of the cervix an unusual diagnosis
topic neoplasias del cuello uterino
diagnóstico diferencial
biopsia
url https://revactamedicacentro.sld.cu/index.php/amc/article/view/1918
work_keys_str_mv AT mauricejosegonzalezbasulto lowgradesarcomaofthecervixanunusualdiagnosis
AT gustavodejesuscrespocampo lowgradesarcomaofthecervixanunusualdiagnosis
AT dayancervantespelaez lowgradesarcomaofthecervixanunusualdiagnosis