UTERINE AND VAGINAL ADENOSARCOMA IN A PAT IENT WITH REMODELED GENITALPROLAPSE

Uterine adenosarcoma is an apparently benign mixed tumor with a muller type epithelial component and a sarcomatous stromal component. We pre sent a patient with remodeled genital prolapse who developed a bifocal localization in the endometrium and vagina. These tumors are uncommon , 8 % of the sarcomatous tumors of the uterus. Their usual presentatio n may mimic cervical or endometrial polyps, Pathology is required Sar positive diagnosis which evidences the two components. The diagnosis m ay be missed at the first examination (two-thirds of the cases in cert ain series). Treatment is surgical with hysterectomy in peri- or post- menopaused women and tumoral excision or curettage in younger women. T he prognosis is good but can worsen if invasion extends beyond one-thi rd of the myometrial thickness or if pure sarcomatous transformation o ccurs.