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ISSN: 1233-9687
Polish Journal of Pathology
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3/2020
vol. 71
 
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Primary extrauterine cystic low-grade endometrioid stromal sarcoma mimicking stromal endometriosis. A case report emphasizing the differential diagnosis and its potential local aggressive behavior

Simona Stolnicu
1
,
Csilip Tunde
1
,
Gabos Szilard
1
,
Cristian Podoleanu
2
,
Francisc Rozsnyai
3

1.
Department of Pathology, University of Medicine, Pharmacy, Sciences and Technology of Targu Mureș, Romania
2.
Department of Internal Medicine IV, University of Medicine, Pharmacy, Sciences and Technology of Targu Mureș, Romania
3.
Department of Gynecology and Obstetrics, University of Medicine, Pharmacy, Sciences and Technology of Targu Mureș, Romania
Pol J Pathol 2020; 71 (3): 277-280
DOI: https://doi.org/10.5114/pjp.2020.99795
Online publish date: 2020/10/25
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Genital and pelvic endometriosis is a frequently encountered lesion and its importance rely on associated symptoms and its propensity for malignant transformation. In the present paper we comment on the importance of correctly diagnose the malignant transformation of an endometriotic lesion into a cystic low-grade endometrial stromal sarcoma, which is a very rare event. Moreover, we discuss the ability of a low-grade endometrial stromal sarcoma to locally recurr and the differential diagnosis with stromal endometriosis, a lesion that is very rare, almost always microscopic and solid.
keywords:

stromal endometriosis, cystic endometrial stromal sarcoma, malignant transformation
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