title: [Stromal sarcoma in pregnancy--a case report].
abstract: In this paper a case of a young pregnant woman with a uterine tumour of 9 cm in size, which was diagnosed as leiomyoma is presented. The patient was delivered at 33 weeks through caesarean section, during which abdominal viscera were found to be normal. Due to the size of the tumour, as well as its localisation--in the uterine wall in the vicinity of the big uterine vessels--an operation to excise it was postponed until after the puerperium period was over. After a few weeks the patient developed intensive abdominal pains. A computer tomography scan was done in which apart from swelling of the retroperitoneal lymph nodes, metastatic type changes in the lungs were also observed. Suspicion of a malignant uterine tumour was confirmed during operation, however due to the extensive progress of the disease a radical operation was not possible. In the histopathological examination stromal sarcoma was revealed. In spite of attempts at using chemotherapy and hormonotherapy no positive effect was achieved. Rapid development of the sarcoma led to the death of the patient after 4 months.
authors.affiliation: Katedry i Kliniki Rozrodczości i Połoznictwa AM we Wrocławiu.
authors.forename: Janusz
authors.initials: J
authors.lastname: Woytoń
authors.forename: Jerzy
authors.initials: J
authors.lastname: Florjański
authors.forename: Marek
authors.initials: M
authors.lastname: Tomiałowicz
mesh_terms: D000328:Adult; D002585:Cesarean Section; D016889:Endometrial Neoplasms / Q000175:diagnosis / Q000601:surgery; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000556:secondary; D049590:Postpartum Period; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis / Q000601:surgery; D012186:Retroperitoneal Neoplasms / Q000556:secondary; D018203:Sarcoma, Endometrial Stromal / Q000175:diagnosis / Q000601:surgery; D013997:Time Factors