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Abstract


A 44-year-old woman underwent the diagnosis of adenomyosis uteri, and the left
adnexal mass was found at the time of operation. The tumor tissue mainly formed solid,
partly cystic masses which was spread to the omentum, peritoneum and mesentery. The
tudor was diagnosed as extrauterine endometrial stromal sarcoma without preexisting
endometriosis.
Distinctive histologic features identifying this neoplasm as ectopic growths of
endometrial stroma included prominent vessels, focal stromal foam cells, bland cytologic
features and rare mitoses. The uterine endometrium and the myometrium were entirely
free from any neoplastic growth or hyperplastic change. The perimetrial surface showed
several scattered nodular involvement of tumor spread. However, no myometrial invasion
was found.

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