Mesonephric adenocarcinoma with a sarcomatous component, a notable subtype of cervical carcinosarcoma: a case report and review of the literature

Carcinosarcoma of the uterine cervix is less common than its counterpart in the uterine corpus. On the other hand, mesonephric adenocarcinoma is also a rare neoplasm in the uterine cervix, and it has been reported that mesonephric adenocarcinomas are often accompanied by sarcomatous components. We p...

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Bibliographic Details
Published in:Diagnostic pathology 2013-05, Vol.8 (1), p.74-74, Article 74
Main Authors: Meguro, Shiori, Yasuda, Masanori, Shimizu, Michio, Kurosaki, Akira, Fujiwara, Keiichi
Format: Article
Language:English
Subjects:
Adenocarcinoma
Adenosarcoma - pathology
Adenosarcoma - surgery
Biopsy
Carcinosarcoma - pathology
Carcinosarcoma - surgery
Case Report
Cell growth
Cervical cancer
Consent
Female
Human papillomavirus
Humans
Hyperplasia
Hysterectomy
Lymph Node Excision
Middle Aged
Mullerian Ducts - pathology
Ovariectomy
Postmenopausal women
Salpingectomy
Uterine Cervical Neoplasms - pathology
Uterine Cervical Neoplasms - surgery
Uterine Neoplasms - pathology
Uterine Neoplasms - surgery
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Summary:Carcinosarcoma of the uterine cervix is less common than its counterpart in the uterine corpus. On the other hand, mesonephric adenocarcinoma is also a rare neoplasm in the uterine cervix, and it has been reported that mesonephric adenocarcinomas are often accompanied by sarcomatous components. We present a case of mesonephric adenocarcinoma with a sarcomatous component which arose in a 63-year-old postmenopausal woman. The hysterectomy specimen grossly showed an exophytic mass measuring 1.8 cm in the uterine cervix. Histologically, diffuse mesonephric hyperplasia and adenocarcinoma with malignant spindle cell proliferation was recognized, and therefore the tumor was diagnosed as "mesonephric adenocarcinoma with a sarcomatous component." The review of the literature of cervical carcinosarcoma and cervical mesonephric adenocarcinoma revealed that 16% of cervical carcinosarcoma is of mesonephric duct origin, and that mesonephric adenocarcinoma seems to be more likely to have sarcomatous change. We think the presence of a sarcomatous component in the cervical biopsy specimen could be helpful in the diagnosis of mesonephric duct origin.
ISSN:1746-1596
1746-1596
DOI:10.1186/1746-1596-8-74