Objective To investigate the misdiagnosis causes of low grade endometrial stromal sarcoma(LG-ESS)and improve the accuracy of diagnosis.Methods The clinical data of 3 misdiagnosed LG-ESS were retrospectively analyzed.Results Three patients were aged 36 to45 years,2 presented with increased menstrual volume,and 1 presented with abdominal pain.Two cases were misdiagnosed as hysteromyoma and underwent transabdominal hysteromyoma excision.One case was misdiagnosed as intravascular leiomyomatosis before surgery and underwent sub-extensive hysterectomy+bilateral adnexectomy+greater omentum resection+tumor cell reduction.All 3 cases were confirmed to be LG-ESS by postoperative pathology.Total hysterectomy and bilateral adnexectomy were performed in 2 patients,and no supplementary surgery was performed in 1 patient.All patients were treated with progesterone after surgery,and there was no recurrence at present.Conclusion LG-ESS has low incidence and high misdiagnosis rate.Clinicians should improve the accuracy of preoperative diagnosis and actively take remedial measures after misdiagnosis,so as to improve the prognosis of patients.
维普
万方数据