Adenosarcoma of the uterine body in a 19-year-old woman three year survival: Case report

Background: Uterine adenosarcoma is a rarely by occurring turner. It is com posed of a benign adenoid structure and a sarcomatous stromal component. Th e average age of patients with a diagnosis of uterine adenosarcoma is about 70 years. Case We present a case of a 19-year-old woman with a rarely occurring uteri ne adenosarcoma manifesting itself by irregular bleeding and producing frag ile polypous matter which was spreading into the vagina. The final diagnosi s was made only by repeated biopsies. Abdominal hysterectomy with bilateral salpingo-oophorectomy, appendectomy and revision of iliac lymph nodes were performed. Teleradiotherapy was applied from 4 fields in 25 fractions to a total exposure of 50 Gy. It was followed by six cycles of chemotherapy con taining 50 mg/m(2) doxorubicin and 5g/m(2) ifosfamid administered in 21-day dose intervals. Conclusion: This case should demonstrate the difficulty of making the right diagnosis. Since the end of therapy the patient has been regularly seen in our once-gynecologic department. Now. 40 months after the end of chemother apy and 46 months after making the diagnosis, there are no signs of relapse .