ADENOSARCOMA OF THE UTERINE CERVIX PRESENTING AS A CERVICAL POLYP

A case of adenosarcoma arising from the uterine cervix of a 55-year-ol d female who complained of vaginal discharge is reported. A polyp, 6 x 2 x 1.5cm in size, identified in the cervical canal was clinically di agnosed as benign cervical polyp and resected, Histologically, the pol yp was composed of benign epithelial components and sarcomatous stroma wherein periglandular hypercellularity and some mitoses including aty pical ones were noted. Immunohistochemically, stromal cells were posit ive for muscle-type actins, desmin and estrogen receptor, Adenosarcoma is a rare, biphasic tumor of the uterus and usually presents as a pol ypoid mass in the endometrial cavity. When they arise from the cervix, adenosarcomas may be confused with benign cervical polyps clinically and pathologically. As the former often recurs, microscopic differenti ation is crucial for further treatment.