Mullerian adenosarcoma of the uterus: Case report and review of literature

Mullerian adenosarcoma - a variant of mullerian mixed mesodermal tumor of t he uterus - is typically composed of benign but sometimes mildly atypical g landular epithelial elements admired with malignant sarcomatous stroma. Thi s rare tumor, which accounts for only about 8% of all uterine sarcomas, usu ally originates in the endometrium and grows as a polypoid mass within the endometrial cavity. The most prevailing presenting symptom is abnormal vagi nal bleeding and the most common finding is a polypoid mass protruding thro ugh a dilated cervical canal. The case of a woman, who at age 62 presented with symptoms and signs of acute pelvic inflammatory disease and on vaginal examination an infected mullerian adenosarcoma protruding through a dilate d cervical canal was discovered, is reported. Treatment consisted of extens ive antibiotic treatment and surgery comprised of total abdominal hysterect omy and bilateral salpingo-oophorectomy followed by postoperative adjuvant pelvic radiotherapy. One year later, the patient is alive with no evidence of disease.