A CASE OF UNSUSPECTED ENDOMETRIAL STROMAL SARCOMA REMOVED BY OPERATIVE HYSTEROSCOPY

A 26-year-old woman underwent operative hysteroscopy to remove a polyp oid lesion, responsible for recurrent abnormal uterine bleeding. The p olypoid mass was 4 cm long, smooth, with dilated vessels. It had a lar ge base and originated from the fundum and posterior wall of the uteru s. Pathological examination of the resected specimen showed low-grade stromal sarcoma. The patient subsequently underwent a total abdominal hysterectomy and bilateral salpingo-oophorectomy. No tumor residual wa s found in the surgical specimen. As diagnosis of stromal sarcoma is t oo difficult to be made preoperatively, the complete resection of all intracavitary lesions and the pathology of all tissue specimens are su ggested. (C) 1995 Academic Press, Inc.