Mullerian adenosarcoma with sarcomatous overgrowth of the cervix - Unusual large polypoid mass


Comunoglu N. , COMUNOGLU C., Bassullu N. , Somunkiran A., Calay Z.

UPSALA JOURNAL OF MEDICAL SCIENCES, cilt.112, ss.67-72, 2007 (SCI İndekslerine Giren Dergi) identifier identifier identifier

  • Cilt numarası: 112 Konu: 1
  • Basım Tarihi: 2007
  • Doi Numarası: 10.3109/2000-1967-096
  • Dergi Adı: UPSALA JOURNAL OF MEDICAL SCIENCES
  • Sayfa Sayıları: ss.67-72

Özet

Mullerian adenosarcoma ( MS) is a rare neoplasm of uterine cervix composed of benign epithelial and malignant stromal components. An aggressive variant of adenosarcoma, mullerian adenosarcoma with sarcomatous overgrowth (MASO) is extremely rare. The difference between MS and MASO is the pure high grade sarcoma features in MASO. In this report we present a MASO case, derived from uterine cervix of a 60 year-old-female patient presenting as a cervical polypoid mass, to our knowledge the second case of the English literature. In spite of sarcomatous overgrowth, high mitotic activity and huge tumor size of 12,5 cms, it displayed no myometrial invasion, vascular invasion and heterologous elements. The patient has been clinically free of disease for 14 months of follow up after total abdominal hysterectomy and bilateral salpingo-oopherectomy. The difficulties in diagnosis and treatment of this entity will be evaluated in this report.