ABSTRACT
Sarcomas are rare forms of endometrial [uterine] cancer. We report here a 52 years old woman who was hospitalized due to abnormal uterine bleeding [menorrhagia]. The patient underwent total abdominal hysterectomy, bilateral salpingo-oophorectomy and para-iliac lymphadenectomy. The pathological result was endometrial stromal sarcoma/low grade. Meanwhile, she had an ESR of 80 mm/h. After 4 years, the patient referred with dyspnea and galactorrhea. Her serum prolactin level was more than 100 ng/ml. The lung CT-scan revealed metastatic lesions. Brain MRI with hypophysis view was normal. Thus chemotherapy with CYADIC regimen was begun for her and her ESR reached 13. Also, a decline in prolactin level occurred. After 2 years, she was hospitalized for abdominal pain and the assessments revealed progressive metastasis of the abdomen and whole body scan demonstrated the metastatic bone disease. Also, prolactin level highly increased [11102 mIu/Lit]. The MRI of the brain was normal again. Serum macroprolactin was measured, revealing a negative result. The ESR reached 80 mm/h