Why the study?
Alveolar soft part sarcoma is uncommon in the female genital tract, and awareness of this entity is needed when evaluating a uterine polyp in a young patient.
Alveolar soft part sarcoma, though rare, should be considered in the differential diagnosis of a uterine polyp in a young patient.
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Supports considering alveolar soft part sarcoma in uterine polyp differentials for young patients; hypothesis-generating at case-report level.
Alveolar soft part sarcoma is a rare malignant soft tissue tumor, mainly localized in the extremities and occurring principally in adolescents and young adults. Alveolar soft part sarcoma are uncommon in the female genital tract. We here report a case of alveolar soft part sarcoma in a 20-year-old nullipara, presenting with vaginal bleeding and profound anemia requiring blood transfusions. Ultrasonographic examination revealed a polyp in the lower uterine segment. Surgical resection of the polyp was performed, and pathological evaluation showed typical histological, immunohistochemical, and molecular features consistent with alveolar soft part sarcoma. Patient underwent for total hysterectomy. Currently, she follows up with her surgeon and has no new complains. Given the infrequency of alveolar soft part sarcoma, this case report raises the awareness of alveolar soft part sarcoma as one of the entities to consider when confronted with a uterine polyp in a young patient.
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Gomez et al. (2020) studied this question.
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