Low-grade endometrial stromal sarcoma: differential with uterine leiomyoma: A rare case report

Endometrial stromal tumors are extremely rare uterine malignancy, mainly among young females. Herein, we report a case of low-grade endometrial tumor in 19-year-old women who presented with the non-specific symptoms lower abdominal pain, swelling and vaginal bleeding similar to leiomyoma. Ultrasound finding showed bulky uterus multiple fibroid degenerative changes. Contrast enhanced computed tomography (CECT) displayed diffusely enlarged heterogenous enhancement solid cystic mass normal bilateral tubes ovary. Considering patient reproductive age group her fertility status, she was operated surgical subtotal hysterectomy. Histopathological examination immunohistochemistry confirmed diagnosis Low-Grade Stromal Sarcoma (LG-ESS). Patient closely followed up for recurrence. (ESS) should be included differential leiomyoma avoid recurrence lesion.