A case of endometrial stromal sarcoma with curvilinear calcification.
BACKGROUND
Although many histopathological, clinical, and imaging findings of ESS have been described, intense calcifications have not been reported previously.


METHODS
A 54-year-old female was admitted with vaginal bleeding and abdominal pain. Gynecologic examination revealed a huge, firm pelvic mass extending up to the epigastrium. Transabdominal ultrasonography and computed tomography demonstrated a well-demarcated uterine mass containing heterogeneous solid and cystic areas and a centric curvilinear calcification. Histopathological diagnosis was established as undifferentiated high-grade endometrial stromal sarcoma.


CONCLUSIONS
Endometrial stromal sarcomas should be considered in the differential diagnosis of uterine masses containing curvilinear calcifications.
Pekindil
Gokhan
G
Department of Radiology, Celal Bayar University Hospital, 45020 Manisa, Turkey. pekindilg@yahoo.com
Tuncyurek
Ozum
O
Orguc
Sebnem
S
Inceboz
Umit
U
Kandiloglu
Ali Riza
AR
Caglar
Husnu
H
D002114:Calcinosis; D003937:Diagnosis, Differential; D016889:Endometrial Neoplasms / Q000175:diagnosis / Q000378:metabolism / Q000473:pathology*; D005260:Female; D006801:Humans; D007889:Leiomyoma / Q000175:diagnosis; D008875:Middle Aged; D018203:Sarcoma, Endometrial Stromal / Q000175:diagnosis / Q000378:metabolism / Q000473:pathology*; D014594:Uterine Neoplasms / Q000175:diagnosis