PRIMARY PARAURETHRAL MIXED TUMOR (CARCINOSARCOMA) OF THE VAGINA - A CASE-REPORT

In total malignant mixed tumors (carcinosarcomas) represent a very rar e gynecological neoplasm. In accordance with the embryological genesis primary localizations are with descending probability the uterus, the ovarians and finally the tubes. We report on a 55 year old female pat ient, with a paraurethral mass, which was primarily diagnosed in 1994. Histopathological evaluation of a transvaginal biopsy did not demonst rate evidence of malignancy at that time. After painful enlargement th e paraurethral mass was resected surgically and histopathological eval uation revealed a primary paraurethral malignant mixed tumor (carcinos arcoma). Postoperatively, the patient underwent percutaneous (46,4 Gy) and intracavitarv (2 x 6 Gy) radiation. Twelve months postoperatively there is no evidence of disease.