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Endometrial stromal lesions: a morphological and immunohistochemical study of short series

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Abstract

Background

Endometrial stromal tumours are rare and constitute less than 5% of uterine tumours. This study presents our experience of endometrial stromal tumours and their immunohistochemical profile.

Methods

All cases reported as endometrial stromal tumors from January 2001 to December 2004 were extracted from the files of pathology department. Hematoxylin and eosin stained slides were reviewed and immunohistochemical staining for vimentin, desmin and cytokeratin was done in all cases.

Results

In all five cases of endometrial stromal tumors were retrieved from the records and constituted 0.3% of endometrial neoplasms. One case was diagnosed as endometrial stromal nodule and four cases were diagnosed as low-grade endometrial stromal sarcoma. Four out of five cases were confined to the uterine corpus. Only one case showed spread to the cervix and the fallopian tube. All tumors were negative for desmin and cytokeratin and showed only focal vimentin postivity.

Conclusions

The diagnosis rests on morphological features mainly while immunohistochemical profile of these tumours is rather inconsistent.

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References

  1. Silverberg SG (2000) Low grade endometrial stromal sarcoma: a rare but often puzzling diagnostic problem. Pathol Case Rev 5(3):73–180

    Google Scholar 

  2. Chang K, Crabtree GS, Lim-Tan SK, Kempson RL, Hendrickson MR (1990) Primary uterine endometrial stromal neoplasms: a clinicopathologic study of 117 cases. Am J Surg Pathol 14:415–438

    Article  PubMed  CAS  Google Scholar 

  3. Oliva E, Young RH, Clement PB, Bhan AK, Scully RE (1995) Cellular benign mesenchymal tumors of the uterus: a comparative morphologic and immunohistochemical analysis of 33 highly cellular leiomyomas and six endometrial stromal nodules, two frequently confused tumours. Am J Surg Pathol 19:757–768

    Article  PubMed  CAS  Google Scholar 

  4. Amant F, Moerman P, Cadron I, Neven P, Berteloot P, Vergoti I (2003) The diagnostic problem of endometrial stromal sarcoma:report of six cases. Gynecol Oncol 90(1):37–43

    Article  PubMed  Google Scholar 

  5. Zhu XO, Shi YF, Cheng XD, Zhao CL, Wu YZ (2004) Immunohistochemical markers in differential diagnosis of endometrial stromal sarcoma and cellular leiomyoma. Gynecol Oncol 92(1):71–79

    Article  PubMed  CAS  Google Scholar 

  6. Sutton GP, Stehman FB, Michael H, Young PC, Ehrlich CE (1986) Estrogen and progesterone receptors in uterine sarcomas. Obstet Gynecol 68:709–714

    PubMed  CAS  Google Scholar 

  7. Kaku T, Silverberg SG, Major FJ, Miller A, Fetter B, Brady MF (1992) Adenosarcoma of the uterus: a gynecological oncology group study of 31 cases. Int J Gynecol Pathol 11:75–88

    Article  PubMed  CAS  Google Scholar 

  8. Franquemont D, Frierson H, Mills S (1991) An immunohistochemical study of normal endometrial stroma and endometrial stromal neoplasms: evidence of smooth muscle differentiation. Am J Surg Pathol 15:861–870

    Article  PubMed  CAS  Google Scholar 

  9. Farhood A, Abrams J (1991) Immunohistochemistry of endometrial stromal sarcoma. Hum Pathol 22:224–230

    Article  PubMed  CAS  Google Scholar 

  10. Moinfar F, Gogg-kamerer M, Sommersacher A et al. (2005) Endometrial stromal sarcomas frequently express epidermal growth factor receptors (EGFR, HER-1): potential basis for a new therapeutic approach. Am J Surg Pathol 29(4):485–489

    Article  PubMed  Google Scholar 

  11. Geller MA, Argenta P, Bradley W et al. (2004) Treatment and recurrence patterns in endometrial stromal sarcomas and the relation to c-kit expression. Gynecol Oncol 95(3):632–636

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Harsh Mohan.

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Bal, A., Mohan, H., Aulakh, R. et al. Endometrial stromal lesions: a morphological and immunohistochemical study of short series. Arch Gynecol Obstet 277, 21–24 (2008). https://doi.org/10.1007/s00404-007-0412-7

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  • DOI: https://doi.org/10.1007/s00404-007-0412-7

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