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Indian Journal of Obstetrics and Gynecology

Volume  12, Issue 2, April - June 2024, Pages 91-94
 

Case Report

Recent Updates on Carcinosarcoma of the Uterus

Priyanka Yoga. Purini1 , Sharmila V2 , Abhishek Raghava K S3 , Poongodi R4 , Darshan H.N5

 1,3,4Assistant Professor,  Department of Obstetrics and Gynaecology,  Department of Medical Oncology, Department  of Pathology, 2 Professor and Head, Department  of Obstetrics and Gynaecology, 5 Academic Junior  Resident, Department of Obstetrics and Gynaecology,  All India Institute of Medical Sciences, Mangalagiri  522503, Andhra Pradesh, India.

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DOI: http://dx.doi.org/10.21088/ijog.2321.1636.12224.7

Abstract

Carcinosarcoma is a very rare, aggressive malignant neoplasm of the uterus and it is  associated with poor prognosis. We are presenting a case of a 66-year-old multiparous  postmenopausal women who had bleeding for a period of 3 months. On MRI Imaging  there is a 6 cm lesion in the endometrial cavity, biopsy from the endometrium  showed carcinosarcoma and she underwent extrafascial hysterectomy with bilateral  slapingoophorectomy, omentectomy, and retroperitoneal lymph node dissection.  Postoperatively ascites is positive for malignant cells, histopathology of specimen reported  as carcinosarcoma FIGO grade 3 and lymph nodes are positive for malignancy. She received  adjuvant chemotherapy with carboplatin and paclitaxel.


Keywords : Post menopausal bleeding; Polypoidal mass; Carcinosarcoma; Malignant mixed mullein tumour.
Corresponding Author : Priyanka Yoga. Purini