IMR Press / CEOG / Volume 48 / Issue 2 / DOI: 10.31083/j.ceog.2021.02.2219
Open Access Case Report
Uterine cervical carcinosarcoma; very rare and aggressive behavior; literature review
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1 Akdeniz University, Department of Gynecology Obstetrics, Division of Gynecologic Oncology, 07010 Antalya, Turkey
Clin. Exp. Obstet. Gynecol. 2021, 48(2), 448–452; https://doi.org/10.31083/j.ceog.2021.02.2219
Submitted: 12 July 2020 | Revised: 29 September 2020 | Accepted: 15 October 2020 | Published: 15 April 2021
Abstract

Background: Carcinosarcoma is a rare malignancy of the female reproductive system, consisting of carcinomatous and sarcomatous components. It originates from the paramesonephric and mesonephric duct residues and is also called malignant mixed Mullerian tumor. Case Presentation: A 58-year-old post-menopausal woman, gravida 2, parity 2, who had no known diseases and no previous surgery presented to another clinic with pelvic pain that had been persisting for about a year and vaginal bleeding for the past month. There was continuous bleeding that was not associated with coitus, and cervical biopsy was reported as carcinosarcoma of heterologous type (the epithelial part was serous carcinoma and the mesenchymal part was chondrosarcoma); the patient was referred to our clinic and underwent evaluation. Conclusion: Effective follow-up is very important considering the aggressive clinical picture of carcinosarcoma cases. It should be kept in mind that metastasis may occur, especially in cases with hypercalcemia and deterioration of the general condition.

Keywords
Carcinosarcoma
Uterine cervix
Paramesonephric
Mesonephric
Hypercalcemia
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