(Disclaimer: This article is for general use only, and the information in the following content has been processed to protect patient privacy. After further examination, she underwent surgery. The postoperative pathology was reported as uterine sarcoma, and she was treated with medication. Basic information】Female, 46 years old 【Disease type】Uterine sarcoma 【Visiting hospital】Hunan Provincial Maternal and Child Health Hospital 【Visiting time】January 2019 【Treatment plan】Surgical treatment (total hysterectomy + bilateral salpingo-oophorectomy) 【Treatment cycle】Inpatient treatment for 10 days + long-term follow-up 【Treatment result】Surgical treatment, good postoperative recovery I. Initial interview Patient female, 46 years old, reported that she usually In November 2018, her menstrual period was prolonged to 19 days and she had incomplete bleeding, but her menstrual cycle and menstrual volume did not change significantly. In January 2019, she came to our hospital for a follow-up pelvic 4-dimensional ultrasound, which showed that the uterus was unevenly enlarged and the uterine cavity and posterior wall were hypoechoic, and the results suggested that polyps or fibroids could not be excluded and further treatment was needed. According to the patient’s condition, MRI was performed after admission, which showed the presence of an infiltrative endometrial mass with extensive myometrial infiltration and cystic changes, suggesting a possible endometrial mesenchymal sarcoma. The patient and her family were introduced to the patient’s condition, and feasible treatment options, and the decision was made to adopt surgical treatment, and the need to remove the uterus and bilateral fallopian tubes and ovaries was emphasized with the family. After the consent of the patient and her family, total hysterectomy + bilateral tubo-ovarian resection was performed, and the operation went smoothly. The patient’s surgery went smoothly and the uterus and bilateral fallopian tubes and ovaries were removed without intraoperative hemorrhage and other accidents, and the growth of the tumor was stopped in time. The patient actively cooperated with the treatment after surgery in compliance with medical advice. 1 week after the surgery, she recovered well, the surgical incision basically healed, and no related complications occurred after the surgery, and after comprehensive assessment of the patient’s condition, she was discharged. After a comprehensive assessment of the patient’s condition, he was discharged from the hospital. Regular follow-up is needed in the future, and no recurrence has occurred for the time being. Before the patient was discharged, the patient was advised to come to the outpatient clinic for a review every 3 months or so, and if the results of the first 3 years of review were normal, the patient could be reviewed once every 6-12 months. In addition, we should also pay attention to personal protection, avoid getting cold and physical exercise appropriately to enhance personal physical fitness. Because the clinical manifestations and imaging examinations of low-grade endometrial mesenchymal sarcoma are similar to benign tumors, it is easy to be misdiagnosed as fibroids or endometrial thickening before surgery, so most patients are not diagnosed before surgery, and there is no standardized treatment plan. However, women of childbearing age who have a strong desire to have children can also undergo conservative surgery with fully informed consent, and close postoperative follow-up and hysterectomy after completion of childbearing is recommended.