{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T17:10:04Z","timestamp":1793293804710,"version":"4.5.0"},"reference-count":17,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,3,23]]},"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:p>Endometrial stromal sarcomas (ESSs) are a rare form of uterine malignancy representing &lt;10% of all uterine sarcomas and &lt;1% of all primary malignant tumours of the uterus. Invasion of the vascular system by low-grade ESS has been reported in the literature. Here we report the first case of a high-grade ESS invading the pelvic and gonadal vein and extending through the inferior vena cava to the right atrium, the diagnostic challenges and multidisciplinary management of the case.<\/jats:p>","DOI":"10.1136\/bcr-2022-251195","type":"journal-article","created":{"date-parts":[[2023,4,19]],"date-time":"2023-04-19T10:40:50Z","timestamp":1681900850000},"page":"e251195","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Rare case of high-grade endometrial stromal sarcoma metastasising to inferior vena cava and right atrium"],"prefix":"10.1136","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6418-4959","authenticated-orcid":false,"given":"Priyanka","family":"Deshmukh","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Addenbrooke's Hospital, Cambridge, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krishnayan","family":"Haldar","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Addenbrooke's Hospital, Cambridge, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2023,4,19]]},"reference":[{"key":"2025082722542898000_16.4.e251195.1","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1002\/ijgo.12612","article-title":"Cancer of the corpus uteri","volume":"143 Suppl 2","author":"Amant","year":"2018","journal-title":"Int J Gynaecol Obstet"},{"key":"2025082722542898000_16.4.e251195.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2009.09.023"},{"key":"2025082722542898000_16.4.e251195.3","unstructured":"Kurman RJ , Carcangiu ML , Herrington CS , et al ., eds. 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