Tropical Journal of Obstetrics and Gynaecology

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Case Report: Endocervical Stromal Sarcoma of the Cervix

Olusola B. Fasubaa, G. Olutoyin Omoniyi-Esan


A 50-year old perimenopausal woman with clinical symptoms suggestive of invasive carcinoma of the cervix was referred to our Gynaecological Clinic. Chest X-rays, blood film appearance, mid-stream urine and intravenous urography were essentially normal. Histological examination revealed that the lesion was an endometrial stromal sarcoma, an extremely rare form of sarcoma in the uterine cervix. Features included stellate and plump spindle-shaped cells with scanty cytoplasm and abnormal mitoses of 3-4 per high power field. Histopathologists are reminded to keep the lesion in mind when examining cervical biopsies or hysterectomy specimens so as not to miss the diagnosis.

Key Words: Cervix,Endocervix, Stromal Sarcoma, Malignancy

[Trop J Obstet Gynaecol, 2003, 20: 167-169]
AJOL African Journals Online