Metastasizing uterine mullerian adenosarcoma in a young female: Diagnostic enigma

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dc.contributor.authorPatnayak, Ren_US
dc.contributor.authorRukmangadha, Nen_US
dc.contributor.authorArchitha, Pen_US
dc.contributor.authorReddy, GSen_US
dc.contributor.authorLakshmi, AYen_US
dc.contributor.authorKannan, Ten_US
dc.contributor.authorJena, Aen_US
dc.date.accessioned2020-04-10T01:49:08Z
dc.date.available2020-04-10T01:49:08Z
dc.date.issued2018-09
dc.description.abstractUterine adenosarcomas are uncommon tumors. It is a biphasic tumor with both epithelial and mesenchymal component. The epithelial component is benign in nature, and the mesenchymal component is malignant. Metastasis is rare in adenosarcoma. We report a case of adenosarcoma with lymph nodal metastasis. A 20-year-old female presented with history of per vaginal bleeding for 1 month. Per vaginal examination revealed a fungating mass protruding through the cervical os. Ultrasonography and magnetic resonance imaging showed a large intrauterine mass. Biopsy of the mass done at an outside hospital was reported as rhabdomyosarcoma. Hence, she was given one cycle of neoadjuvant chemotherapy. Following this, she had profuse bleeding. Emergency hysterectomy with pelvic lymph nodal dissection was performed. The final histopathology was reported as adenosarcoma. One pelvic lymph node showed metastatic deposit of rhabdomyosarcomatous element. In young females presenting with polypoidal mass, uterine adenosarcoma can be considered in the differential diagnosis.en_US
dc.identifier.affiliationsDepartment of Pathology, Sri Venkateswara Institute of Medical Sciences, Tirupati, Andhra Pradesh, Indiaen_US
dc.identifier.affiliationsDepartment of Surgical Oncology, Sri Venkateswara Institute of Medical Sciences, Tirupati, Andhra Pradesh, Indiaen_US
dc.identifier.affiliationsDepartment of Radiology, Sri Venkateswara Institute of Medical Sciences, Tirupati, Andhra Pradesh, Indiaen_US
dc.identifier.affiliationsDepartment of Medical Oncology, Sri Venkateswara Institute of Medical Sciences, Tirupati, Andhra Pradesh, Indiaen_US
dc.identifier.citationPatnayak R, Rukmangadha N, Architha P, Reddy GS, Lakshmi AY, Kannan T, Jena A. Metastasizing uterine mullerian adenosarcoma in a young female: Diagnostic enigma. Indian Journal of Pathology and Microbiology. 2018 Sep; 61(3): 440-442en_US
dc.identifier.issn0377-4929
dc.identifier.issn0974-5130
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/196229
dc.languageenen_US
dc.publisherIndian Association of Pathologists and Microbiologistsen_US
dc.relation.issuenumber3en_US
dc.relation.volume61en_US
dc.source.urihttps://dx.doi.org/10.4103/IJPM.IJPM_1_18en_US
dc.subjectLymph node metastasisen_US
dc.subjectmullerian adenosarcomaen_US
dc.subjectpremenopausal femaleen_US
dc.subjectuterine sarcomasen_US
dc.titleMetastasizing uterine mullerian adenosarcoma in a young female: Diagnostic enigmaen_US
dc.typeJournal Articleen_US
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