A case of mullerian adenosarcoma of the uterus.

Mo, A Jin; Sung, Ji Eun; Kyung, Min Sun; Cho, Yong; Ro, Eu Sun; Choi, Kyung Chan

doi:2012.55.9.678

Obstet Gynecol Sci > Volume 55(9); 2012 > Article

Case Report

Korean Journal of Obstetrics & Gynecology 2012;55(9):678-682.
DOI: https://doi.org/10.5468/KJOG.2012.55.9.678 Published online September 17, 2012.

A case of mullerian adenosarcoma of the uterus.

A Jin Mo, Ji Eun Sung, Min Sun Kyung, Yong Cho, Eu Sun Ro, Kyung Chan Choi

¹Department of Obstetrics and Gynecology, Hallym University College of Medicine, Chuncheon, Korea. esr@hallym.or.kr
²Department of Pathology, Hallym University College of Medicine, Chuncheon, Korea.

Abstract

Mullerian adenosarcoma which is characterized by admixture of benign-appearing neoplastic glands and sarcomatous stroma, is an uncommon variant of malignant mixed mullerian tumor (MMMT). Classic treatment for this rare tumor is hysterectomy with bilateral salpingo-oophorectomy. Its prognosis is relatively poor, but better than MMMT. The efficacy of adjuvant postoperative radiotherapy and chemotherapy is debatable and appears not to be promising. We report a 62-year-old female with mullerian adenosarcoma diagnosed after hysterectomy with bilateral salpingo-oophorectomy, which had shown unique ultrasonographic feature like hydatidiform mole and had been diagnosed as fibroadenoma in endometrial curettage, with brief review of literatures.

Key Words: Mullerian adenosarcoma, Malignant mixed mullerian tumor, Uterine sarcoma