RT Journal Article SR Electronic T1 Endometrial stromal sarcoma of the uterus presenting as pulmonary metastasis JF BMJ Case Reports FD BMJ Publishing Group Ltd SP bcr2013008565 DO 10.1136/bcr-2013-008565 VO 2013 A1 Fariba Binesh A1 Shokouh Taghipour Zahir A1 Ali Akhavan A1 Taghi Roshan Bovanlu YR 2013 UL http://casereports.bmj.com/content/2013/bcr-2013-008565.abstract AB Endometrial stromal sarcoma (ESS) is a rare uterine sarcoma. Compared with other uterine malignancies, it occurs at an earlier age (42–58 years) and about 10–25% of the patients are premenopausal. The tumours have an indolent growth, with a tendency for late recurrence. Metastases are rarely detected before the diagnosis of the primary lesion. We report a case of ESS with pulmonary metastasis as a prodromal manifestation.