Primary Carcinosarcoma of the Uterine Cervix: Case Report and Review of the Literature
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 5
Abstract
Carcinosarcoma of the uterine cervix are very rare tumors, constituting only 0.005% of all cervical malignancies (fewer than 70 cases of cervical carcinosarcoma have been reported in the English literature). It usually presents with abnormal vaginal bleeding in post-menopausal women. The tumor has high rates of metastasis, so careful management including surgery, chemotherapy and/or radiotherapy is done for these patients. Here, we present a case of a 60 year old woman who present with an ectocervical tumor. She underwent radical hysterectomy and bilateral pelvic lymphadenectomy; the tumor was diagnosed on histopathological examination as Carcinosarcoma of the uterine cervix. Following surgery, the patient was given radiotherapy with concurrent chemotherapy. Four months late, discovered a mesenteric recurrence. The patient was treated by surgery followed by palliative chemotherapy. This treatment had no effect and she died of peritoneal carcinomatosis three months after starting the palliative chemotherapy. carcinosarcoma of the uterine cervix is a rare disease, mostly occurring in older age and advanced stage. Optimal treatment is unclear. Aggressive primary therapy can result in cure of early-stage tumors.
Authors and Affiliations
Khalid Andaloussi- Saghir, Abdelhak Maghous, Elamin Marnouche, Mohammed El Marjany, Hassan Sifat, Khalid Hadadi, Hamid Mansouri
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