PDF(Pubmed)
Abstract：
UNASSIGNED: Endometrial stromal sarcoma (ESS) is extremely rare in pregnancy. It shares clinical and imaging features with more common pregnancy findings such as leiomyoma and molar gestations, which makes diagnosis challenging.
UNASSIGNED: A 36-year-old patient presented at 8 weeks and 1 day gestation for vaginal bleeding. An intrauterine pregnancy with an appropriately sized embryo with heart motion and a 9.5 cm complex uterine mass was found on ultrasound. MRI showed an 11.4 cm cystic mass with nodular septations causing mass effect on the endometrial cavity. After extensive counseling, the patient underwent a gravid abdominal hysterectomy and bilateral salpingectomy. Final pathology showed low grade ESS.
UNASSIGNED: This case highlights the importance of evaluating suspicious uterine masses in pregnancy and the necessity for safe abortion access.
UNASSIGNED: A 36-year-old patient presented at 8 weeks and 1 day gestation for vaginal bleeding. An intrauterine pregnancy with an appropriately sized embryo with heart motion and a 9.5 cm complex uterine mass was found on ultrasound. MRI showed an 11.4 cm cystic mass with nodular septations causing mass effect on the endometrial cavity. After extensive counseling, the patient underwent a gravid abdominal hysterectomy and bilateral salpingectomy. Final pathology showed low grade ESS.
UNASSIGNED: This case highlights the importance of evaluating suspicious uterine masses in pregnancy and the necessity for safe abortion access.
摘要：
■子宫内膜间质肉瘤（ESS）在妊娠期极为罕见。它与更常见的妊娠发现如平滑肌瘤和磨牙妊娠共享临床和影像学特征，这使得诊断具有挑战性。
■一名36岁的患者在妊娠8周和1天时出现阴道出血。在超声检查中发现了宫内妊娠，其胚胎大小合适，有心脏运动和9.5cm的复杂子宫肿块。MRI显示11.4cm囊性肿块伴结节状间隔，对子宫内膜腔产生肿块效应。经过广泛的咨询,患者接受了妊娠腹式子宫切除术和双侧输卵管切除术。最终病理显示低度ESS。
■此案例强调了评估妊娠可疑子宫肿块的重要性以及安全流产的必要性。
■一名36岁的患者在妊娠8周和1天时出现阴道出血。在超声检查中发现了宫内妊娠，其胚胎大小合适，有心脏运动和9.5cm的复杂子宫肿块。MRI显示11.4cm囊性肿块伴结节状间隔，对子宫内膜腔产生肿块效应。经过广泛的咨询,患者接受了妊娠腹式子宫切除术和双侧输卵管切除术。最终病理显示低度ESS。
■此案例强调了评估妊娠可疑子宫肿块的重要性以及安全流产的必要性。
