High-Grade Endometrial Stromal Sarcoma :A Case Report

Abstract

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.