title: Conservative management of a myxoid endometrial stromal sarcoma in a 16-year-old nulliparous woman.
abstract: BACKGROUND
  Sarcomas comprise less than 1% of all gynecological cancers and 2% to 5% of all uterine malignancies, of which endometrial stromal sarcoma accounts for approximately 15%. Surgery is fundamental in sarcoma management and a total hysterectomy is performed in the majority of cases.
  
  
  METHODS
  Presented is a case of low-grade myxoid endometrial stromal sarcoma in a nulliparous adolescent female managed by local resection and uterine reconstruction.
  
  
  CONCLUSIONS
  In selected cases, the initial management of a localized and well defined low-grade endometrial stromal sarcoma could potentially be conservative (uterine-sparing) surgical resection.
authors.affiliation: Department of Radiology, University of Nebraska Medical Center, Omaha, NE 68198-3255, USA.
authors.forename: Jaime L
authors.initials: JL
authors.lastname: Stadsvold
authors.forename: Kelly L
authors.initials: KL
authors.lastname: Molpus
authors.forename: John J
authors.initials: JJ
authors.lastname: Baker
authors.forename: Kim
authors.initials: K
authors.lastname: Michael
authors.forename: Steven W
authors.initials: SW
authors.lastname: Remmenga
mesh_terms: D000293:Adolescent; D016889:Endometrial Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D018203:Sarcoma, Endometrial Stromal / Q000473:pathology / Q000601:surgery*