Mullerian adenosarcoma of the cervix with heterologous elements and sarcomatous overgrowth

Uterine cervical Müllerian adenosarcoma possibly arising from ovarian cystadenofibroma: A case report and review of the literature

Uterine cervical Müllerian adenosarcoma (MA), a rare malignant tumor of the female reproductive organs, is composed of a benign epithelium and a low-grade malignant stromal component. Because few studies have investigated the clinical management of MA, misdiagnosis often occur. Therefore, we proposed an optimal course of clinical management for patients with MA. MA is possibly a malignant transformation of the cystadenofibroma. In this study, we present a case of a 46-year-old woman who presented with symptoms of MA of the uterine cervix, such as metrorrhagia and a cyst in the cervical canals, after transvaginal excision of the left ovarian mucinous cystadenofibroma.

Mullerian adenosarcomas of the uterine cervix with sarcomatous overgrowth

Mullerian adenosarcoma with sarcomatous overgrowth (MASO) of the uterine cervix is an extremely rare variant of adenosarcoma of the genital tract associated with aggressive clinical course. We searched the PubMed and Medline databases for MASO of the cervix and we identified and reviewed eleven cases published between years 2004 and 2017. The most common clinical picture includes abnormal vaginal bleeding, postcoital bleeding, pelvic pain and foul-smelling vaginal discharge. Therapeutic options for MASO are still undefined. Radical hysterectomy with sufficient tumour-free margins combined with adjuvant chemotherapy and radiotherapy should serve as an effective treatment tool with favourable outcome.

HETEROTOPIC CARTILAGE IN THE MYOMETRIUM

We describe a rare case of chondroid heterotopia in the myometrium with associated foci of adenomyosis, in a 45 years old female, presenting with abnormal uterine bleeding and abdominal pain. Designated as metaplastic and benign, it needs to be differentiated from other benign conditions as impacted fetus, teratoma, chondroma, and certain malignant conditions like malignant mixed mullerian tumor, adenosarcoma and leiomyosarcoma.