Uterine sarcomas are tumors of poor prognosis characterized by a great histopathological heterogeneity.
High endometrial stromal sarcomas (ESS) occurring at a late age, with high mitotic activity and / or tumor
necrosis, are very poorly prognostic tumors.
If it is accepted that the standard treatment of uterine sarcomas is surgical, the place of adjuvant treatment remains
controversial.
We report a case of a high-grade ESS referred to initially on MRI and diagnosed on pathological examination of a hysterectomy
performed in a 64-year-old postmenopausal woman with postmenopausal bleeding.
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