Endometrial stromal sarcoma presented as an incidental lung mass with multiple pulmonary nodules

Dong Oh Kang, Sue In Choi, Jee Youn Oh, Jae Kyeom Sim, Jong Hyun Choi, Ji Yung Choo, Jin Wook Hwang, Seung Heon Lee, Ju-Han Lee, Ki Yeol Lee, Chol Shin, Je Hyeong Kim

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Low-grade endometrial stromal sarcoma (ESS) is an uncommon gynecologic malignancy of mesodermal origin. Pulmonary metastasis of low-grade ESS can occur years and decades after the treatment of the primary disease. Low-grade ESS is frequently mistaken as benign uterine neoplasm like uterine leiomyoma, which can potentially lead to a misdiagnosis. We present a case of a 42-year-old woman with low-grade ESS, that initially presented as an incidental lung mass with multiple pulmonary nodules, seven years after an uterine myomectomy. A 6.9x5.8 cm-sized intrapelvic mass suspected of uterine origin was discovered while searching for potential extrathoracic primary origin. A pelviscopy and simultaneous thoracoscopic lung biopsy were conducted for pathologic diagnosis. Finally, the diagnosis was confirmed as low-grade ESS with lung metastasis based on the histopathologic examination with immunohistochemical stain, which was showed positive for CD 10 and hormone receptor markers (estrogen and progesterone receptors) in both pelvic and lung specimens.

Original languageEnglish
Pages (from-to)131-135
Number of pages5
JournalTuberculosis and Respiratory Diseases
Volume76
Issue number3
DOIs
Publication statusPublished - 2014 Jan 1

Fingerprint

Endometrial Stromal Tumors
Multiple Pulmonary Nodules
Endometrial Stromal Sarcoma
Lung
Uterine Myomectomy
Neoplasm Metastasis
Uterine Neoplasms
Leiomyoma
Progesterone Receptors
Diagnostic Errors
Estrogen Receptors
Neoplasms
Coloring Agents
Hormones
Biopsy

Keywords

  • Multiple pulmonary nodules
  • Neoplasm metastasis
  • Sarcoma, endometrial stromal

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Infectious Diseases

Cite this

Endometrial stromal sarcoma presented as an incidental lung mass with multiple pulmonary nodules. / Kang, Dong Oh; Choi, Sue In; Oh, Jee Youn; Sim, Jae Kyeom; Choi, Jong Hyun; Choo, Ji Yung; Hwang, Jin Wook; Lee, Seung Heon; Lee, Ju-Han; Lee, Ki Yeol; Shin, Chol; Kim, Je Hyeong.

In: Tuberculosis and Respiratory Diseases, Vol. 76, No. 3, 01.01.2014, p. 131-135.

Research output: Contribution to journalArticle

Kang, Dong Oh ; Choi, Sue In ; Oh, Jee Youn ; Sim, Jae Kyeom ; Choi, Jong Hyun ; Choo, Ji Yung ; Hwang, Jin Wook ; Lee, Seung Heon ; Lee, Ju-Han ; Lee, Ki Yeol ; Shin, Chol ; Kim, Je Hyeong. / Endometrial stromal sarcoma presented as an incidental lung mass with multiple pulmonary nodules. In: Tuberculosis and Respiratory Diseases. 2014 ; Vol. 76, No. 3. pp. 131-135.
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