Endometrial Stromal Sarcoma Presented as an Incidental Lung Mass with Multiple Pulmonary Nodules / 결핵및호흡기질환
Tuberculosis and Respiratory Diseases
; : 131-135, 2014.
Article
de En
| WPRIM
| ID: wpr-224802
Bibliothèque responsable:
WPRO
ABSTRACT
Low-grade endometrial stromal sarcoma (ESS) is an uncommon gynecologic malignancy of mesodermal origin. Pulmonary metastasis of low-grade ESS can occur years and decades after the treatment of the primary disease. Low-grade ESS is frequently mistaken as benign uterine neoplasm like uterine leiomyoma, which can potentially lead to a misdiagnosis. We present a case of a 42-year-old woman with low-grade ESS, that initially presented as an incidental lung mass with multiple pulmonary nodules, seven years after an uterine myomectomy. A 6.9x5.8 cm-sized intrapelvic mass suspected of uterine origin was discovered while searching for potential extrathoracic primary origin. A pelviscopy and simultaneous thoracoscopic lung biopsy were conducted for pathologic diagnosis. Finally, the diagnosis was confirmed as low-grade ESS with lung metastasis based on the histopathologic examination with immunohistochemical stain, which was showed positive for CD10 and hormone receptor markers (estrogen and progesterone receptors) in both pelvic and lung specimens.
Mots clés
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Progestérone
/
Tumeurs de l'utérus
/
Biopsie
/
Sarcome du stroma endométrial
/
Diagnostic
/
Erreurs de diagnostic
/
Nodules pulmonaires multiples
/
Myomectomie de l'utérus
/
Léiomyome
/
Poumon
Type d'étude:
Diagnostic_studies
Limites du sujet:
Adult
/
Female
/
Humans
langue:
En
Texte intégral:
Tuberculosis and Respiratory Diseases
Année:
2014
Type:
Article