IMR Press / EJGO / Volume 40 / Issue 6 / DOI: 10.12892/ejgo4646.2019
Open Access Case Report
Undifferentiated endometrial sarcoma of the cervix: a case report
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1 Department of Obstetrics and Gynecology, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taipei, Taiwan
2 Department of Pathology, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taipei, Taiwan
3 Department of Hematology and Oncology, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taipei, Taiwan
4 Department of Radiation Oncology, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taipei, Taiwan
5 Department of Diagnostic Radiology, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taipei, Taiwan
6 Department of Obstetrics and Gynecology, College of Medicine, Taipei Medical University, Taipei, Taiwan
7 Department of Obstetrics and Gynecology, Taipei Medical University Hospital, Taipei, Taiwan
Eur. J. Gynaecol. Oncol. 2019 , 40(6), 1035–1038; https://doi.org/10.12892/ejgo4646.2019
Published: 10 December 2019
Abstract

Undifferentiated endometrial sarcoma is an aggressive sarcoma. The authors report a case of such a large tumor arising from the cervix in a 53-year-old multiparous woman presenting with urinary retention and vaginal bleeding. Ultrasound and Doppler imaging revealed a large mass about 13.3×7.6 cm in the cervix. MRI revealed a large polypoid heterogeneous hyperintensity tumor (12.2×8.2 cm) in the cervix with vaginal lumen protrusion and urinary bladder compression. Total abdominal hysterectomy and bilateral salpingo-oophorectomy were performed. The pathology revealed FIGO Stage IIb. Adjuvant radiotherapy and chemotherapy with doxorubicin were given. The patient tolerated the treatment well, and so far she has no evidence of recurrence.

Keywords
Undifferentiated endometrial sarcoma
Vaginal bleeding
Hysterectomy
Figures
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