Heterologous type of malignant mixed Müllerian tumor of the uterus presenting as a vulvar mass

Carcinosarcoma is a rare, extremely aggressive tumor of the uterus with a poor prognosis. The authors describe a case of a 78-year-old woman who presented with a giant mass protruding through the cervix, vagina, and vulva. A total abdominal hysterectomy with bilateral salpingo-oophorectomy was perfo...

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Bibliographic Details
Published in:European journal of gynaecological oncology 2014, Vol.35 (4), p.458-460
Main Authors: Grigore, M, Ilea, C, Terinte, C, Sava, A, Popovici, R
Format: Article
Language:English
Subjects:
Aged
Carcinosarcoma - pathology
Carcinosarcoma - surgery
Female
Humans
Hysterectomy
Mixed Tumor, Mullerian - pathology
Mixed Tumor, Mullerian - surgery
Ovariectomy
Salpingectomy
Uterine Neoplasms - pathology
Uterine Neoplasms - surgery
Vaginal Diseases - pathology
Vaginal Diseases - surgery
Vulvar Diseases - pathology
Vulvar Diseases - surgery
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Summary:Carcinosarcoma is a rare, extremely aggressive tumor of the uterus with a poor prognosis. The authors describe a case of a 78-year-old woman who presented with a giant mass protruding through the cervix, vagina, and vulva. A total abdominal hysterectomy with bilateral salpingo-oophorectomy was performed. The histopathological examination of the surgical specimen revealed a malignant mixed Müllerian tumor. The clinical and pathological features, molecular data, and prognosis of this aggressive neoplasm are discussed. Although uterine carcinosarcomas are extremely rare, when a postmenopausal woman with a vulvar mass is admitted to the gynecology clinic, the physician should consider that the mass may be a carcinosarcoma.
ISSN:0392-2936
DOI:10.12892/ejgo24952014