Carcinosarcoma of the Uterus Mimicking a Cervical Polyp: A Case Report and Literature Review
Uterine carcinosarcomas are a group of very rare, aggressive biphasic often monoclonal tumours composed of both epithelial and mesenchymal elements. The prognosis of this tumour is poor and a pre-operative diagnosis via endometrial biopsy is often difficult. We present a case of uterine carcinosarcoma in a 61- year old woman who complained of spontaneous vaginal bleeding of two weeks duration with a protruding cervical mass. Total abdominal hysterectomy and bilateral salpingo-oophorectomy were performed on her. Histopathological and immunohistochemical assessments revealed a tumour which consisted of an admixture of both malignant epithelial and mesenchymal elements. Thus, it is suggested that clinician should have a high index of suspicion for this tumour whenever postmenopausal patients present with vaginal bleeding and discharge.
Copyright (c) 2019 MO Tanimowo, EK Abudu, E Ekwo, AM Abassittai
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