title: Endometrial stromal sarcoma presenting as large bleeding left upper quadrant mass.
abstract: Endometrial stromal sarcoma (ESS) represents only 0.2% of all uterine malignancies. Even fewer cases have been reported on patients presenting with symptomatic disease. We report the case of young lady presenting with a large bleeding abdominal mass. At the time of surgery, an en bloc excision of the mass with a partial pancreatectomy, splenectomy, transverse colectomy, left nephrectomy, left adrenalectomy and resection of the diaphragm was performed. The final pathology revealed a malignant spindle and epithelial cell neoplasm with features favoring a variant of ESS. ESS can present in an atypical fashion as an intra-abdominal mass; a multi-disciplinary treatment approach for patients with this disease is crucial.
authors.affiliation: 1 Department of Surgery, 2 Department of Pathology, 3 Department of Radiology, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors.forename: Gaya
authors.initials: G
authors.lastname: Spolverato
authors.affiliation: 1 Department of Surgery, 2 Department of Pathology, 3 Department of Radiology, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Montgomery
authors.affiliation: 1 Department of Surgery, 2 Department of Pathology, 3 Department of Radiology, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors.forename: Ihab
authors.initials: I
authors.lastname: Kamel
authors.affiliation: 1 Department of Surgery, 2 Department of Pathology, 3 Department of Radiology, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors.forename: Timothy M
authors.initials: TM
authors.lastname: Pawlik
keywords: Endometrial stromal sarcoma (ESS); left upper quadrant mass; sarcoma; surgery