2022-RA-1687-ESGO Diagnostic difficullties in low-grade endometrial stromal sarcoma: review of the literature in one case

Introduction/Background Endometrial stromal sarcoma (ESS) is a rare and difficult to diagnose endometrial proliferation. It constitutes only about 0.2% of all uterine malignancies usually associated with poor prognosis. SSE misdiagnosed as leiomyoma sometimes polyp. Both have nonspecific symptoms, which makes the diagnosis even more complex. Given rarity this neoplastic entity, optimal management quite dynamic debatable Methodology our study case report Results We here 35-year-old patient who presented for pregnancy presumptive leiomyoma, principle diagnostic hysteroscopy cavitary assessment in context infertility revealed fundial imprint FIGO 2–5 myoma an endocavitary process similar necrobitic was resected two weeks later over larger area implantation compared time diagnosis. Pathological analysis low-grade 5.5 cm long axis, infiltrating >50% myometrium. As result, treatment plan changed from conservative myomectomy total interovarian hysterectomy. Conclusion The aim highlight uncommon tumour young patients raise awareness need consider diagnosis, particularly when presenting rapidly enlarging leiomyoma.