Low grade endometrial stromal sarcoma: A case report

Endometrial stromal sarcoma (ESS) is an uncommon and confusing malignant tumour amongst all uterine sarcomas occurring in the peri-menopausal age group. We report a case of low-grade ESS in a 47-year-old woman, presented with lower abdominal pain related with lower abdominal mass. Earlier USG report exposed multiple intramural fibroids. Since preoperative decision could not be determined, total abdominal hysterectomy with bilateral salpingoopherectomy was done. Histopathology examination of uterus revealed low grade endometrial stromal sarcoma. Post operatively PET CT was done which came out to be negative for metastasis. Patient is in regular follow up since then.