Cotzia P et al: Undifferentiated uterine sarcomas represent under-recognized high-grade endometrial stromal sarcomas. Am J Surg Pathol. 43(5):662-9, 2019
Huang YT et al: Current status of magnetic resonance imaging in patients with malignant uterine neoplasms: a review. Korean J Radiol. 20(1):18-33, 2019
Kim TH et al: What MRI features suspect malignant pure mesenchymal uterine tumors rather than uterine leiomyoma with cystic degeneration? J Gynecol Oncol. 29(3):e26, 2018
Seagle BL et al: Low-grade and high-grade endometrial stromal sarcoma: a National Cancer Database study. Gynecol Oncol. 146(2):254-62, 2017
Yoon A et al: Prognostic factors and outcomes in endometrial stromal sarcoma with the 2009 FIGO staging system: a multicenter review of 114 cases. Gynecol Oncol. 132(1):70-5, 2014
Tirumani SH et al: Current concepts in the imaging of uterine sarcoma. Abdom Imaging. 38(2):397-411, 2013
Seddon BM et al: Uterine sarcomas--recent progress and future challenges. Eur J Radiol. 78(1):30-40, 2011
Tse KY et al: Staging of uterine sarcomas. Best Pract Res Clin Obstet Gynaecol. 25(6):733-49, 2011
Wu TI et al: Clinical presentation and diagnosis of uterine sarcoma, including imaging. Best Pract Res Clin Obstet Gynaecol. 25(6):681-9, 2011
Chew I et al: Endometrial stromal sarcomas: a review of potential prognostic factors. Adv Anat Pathol. 17(2):113-21, 2010
Fujii S et al: Diffusion-weighted imaging of uterine endometrial stromal sarcoma: a report of 2 cases. J Comput Assist Tomogr. 34(3):377-9, 2010
Furukawa R et al: Endometrial stromal sarcoma located in the myometrium with a low-intensity rim on T2-weighted images: report of three cases and literature review. J Magn Reson Imaging. 31(4):975-9, 2010
Sohaib SA et al: Imaging of uterine malignancies. Semin Ultrasound CT MR. 31(5):377-87, 2010
Nugent EK et al: The value of perioperative imaging in patients with uterine sarcomas. Gynecol Oncol. 115(1):37-40, 2009
Moinfar F et al: Uterine sarcomas. Pathology. 39(1):55-71, 2007
Kusaka M et al: A case of high-grade endometrial stromal sarcoma arising from endometriosis in the cul-de-sac. Int J Gynecol Cancer. 16(2):895-9, 2006
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Synonyms
Uterine sarcoma
Definitions
Malignant mesenchymal tumor of endometrium
4 categories of endometrial stromal tumor
Endometrial stromal nodule (benign)
Low-grade endometrial stromal sarcoma (LGSS)
High-grade endometrial stromal sarcoma (HGSS)
Undifferentiated stromal sarcoma (USS)
Many cases are likely misdiagnosed HGSS
IMAGING
General Features
CT Findings
MR Findings
Ultrasonographic Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
Gross Pathologic & Surgical Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Consider
Image Interpretation Pearls
Selected References
Cotzia P et al: Undifferentiated uterine sarcomas represent under-recognized high-grade endometrial stromal sarcomas. Am J Surg Pathol. 43(5):662-9, 2019
Huang YT et al: Current status of magnetic resonance imaging in patients with malignant uterine neoplasms: a review. Korean J Radiol. 20(1):18-33, 2019
Kim TH et al: What MRI features suspect malignant pure mesenchymal uterine tumors rather than uterine leiomyoma with cystic degeneration? J Gynecol Oncol. 29(3):e26, 2018
Seagle BL et al: Low-grade and high-grade endometrial stromal sarcoma: a National Cancer Database study. Gynecol Oncol. 146(2):254-62, 2017
Yoon A et al: Prognostic factors and outcomes in endometrial stromal sarcoma with the 2009 FIGO staging system: a multicenter review of 114 cases. Gynecol Oncol. 132(1):70-5, 2014
Tirumani SH et al: Current concepts in the imaging of uterine sarcoma. Abdom Imaging. 38(2):397-411, 2013
Seddon BM et al: Uterine sarcomas--recent progress and future challenges. Eur J Radiol. 78(1):30-40, 2011
Tse KY et al: Staging of uterine sarcomas. Best Pract Res Clin Obstet Gynaecol. 25(6):733-49, 2011
Wu TI et al: Clinical presentation and diagnosis of uterine sarcoma, including imaging. Best Pract Res Clin Obstet Gynaecol. 25(6):681-9, 2011
Chew I et al: Endometrial stromal sarcomas: a review of potential prognostic factors. Adv Anat Pathol. 17(2):113-21, 2010
Fujii S et al: Diffusion-weighted imaging of uterine endometrial stromal sarcoma: a report of 2 cases. J Comput Assist Tomogr. 34(3):377-9, 2010
Furukawa R et al: Endometrial stromal sarcoma located in the myometrium with a low-intensity rim on T2-weighted images: report of three cases and literature review. J Magn Reson Imaging. 31(4):975-9, 2010
Sohaib SA et al: Imaging of uterine malignancies. Semin Ultrasound CT MR. 31(5):377-87, 2010
Nugent EK et al: The value of perioperative imaging in patients with uterine sarcomas. Gynecol Oncol. 115(1):37-40, 2009
Moinfar F et al: Uterine sarcomas. Pathology. 39(1):55-71, 2007
Kusaka M et al: A case of high-grade endometrial stromal sarcoma arising from endometriosis in the cul-de-sac. Int J Gynecol Cancer. 16(2):895-9, 2006
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