Differential Diagnosis of Endometrial Stromal Sarcoma Mimicking Other Types of Fibroids: A Case Study

Methods: A single patient presenting with a pelvic mass was examined. The research included a detailed medical history, physical examination, and imaging studies. The clinical symptoms, imaging characteristics, and histopathological findings were analyzed to distinguish ESS from other fibroid types. Results: The patient initially presented with symptoms and imaging suggestive of typical uterine fibroids. However, histopathological evaluation revealed the presence of ESS. This case underscores the critical role of histopathology in differentiating ESS from other benign fibroids, which may appear similar on imaging. The discussion focuses on the diagnostic challenges, the importance of considering ESS in differential diagnoses, and the implications for patient management and prognosis. Conclusion: Accurate differential diagnosis between endometrial stromal sarcoma and other fibroids is crucial for effective patient management. This case highlights the necessity of comprehensive diagnostic approaches, including histopathological examination, to avoid misdiagnosis and ensure appropriate treatment strategies.