High-Grade Endometrial Stromal Sarcoma Presenting As a Polyp: A Rare Case Report

Endometrial Stromal Sarcoma (ESS) is commonly seen in perimenopausal women, typically presents with abnormal uterine bleeding and most commonly, pre-operative diagnosis will be leiomyomas. We report a case of 40 year old female presenting with excessive bleeding per vaginum since 2 months with provisional clinical diagnosis of bulky uterus with leiomyomatous polyp, abdominalpanhysterectomy was done. Histopathological examination is helpful in the diagnosis of High Grade ESS. The case is presented in view of its rarity and showing very much distinguishing gross and microscopy appearance. It highlights the unsuspected uterine malignant tumor. The histopathological examination again proved as gold standard to diagnose this rare entity.