low-grade endometrial stromal sarcoma in a young woman: a case report

Endometrial stromal sarcoma is a rare condition, constituting nearly 0.2% of all reproductive tract malignancies. the condition mainly affects the peri-menopausal population; however, it can occasionally be found in younger women and adolescents. here, this is a case of a 20-year-old primiparous female who was referred to us with the main complaint of vaginal bleeding (menometrorrhagia), ongoing for 6 months after delivery. her sonography report indicated a 5 cm intra-cavitary mass suspicious for myoma or placental polyp. given the pathology report of low-grade endometrial stromal sarcoma (lgess) on samples obtained through hysteroscopy and d&c, she underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy (tah+bso). endometrial stromal sarcoma is a rare uterine malignancy of mesenchymal origin that should be considered, even in very young patients.