Adenosarcoma of the Uterus: A Case Report

Şivekar Tinar, MD; Salim Şehirali, MD; M. Murat İnal, MD; Yusuf Yildrim, MD; Esin Çelik, MD; Seyran Yiğit, MD

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Abstract and Introduction

Adenosarcomas of the uterus are very rarely observed and diagnosed. In this report, we present a case of a uterine adenosarcoma that was diagnosed in February 2002.

Adenosarcoma is a variant of mixed mullerian tumors of the uterus.[1,2] Sarcomas in the uterine cervix are rare, comprising 0.5% to 1% of all cervical malignancies.[3] Uterine sarcomas make up 2% to 3% of malignant corpus tumors,[4] whereas mullerian adenosarcomas are observed in 8% of uterine sarcomas.[5] Adenosarcomas are characterized by weaker malignancy potential, late-onset local recurrence (25%), rare metastasis, and a higher incidence in older women.[6,7] Affected women rangein age from 13 to 67 years (mean, 37 years).[8] Recurrence is observed more frequently in the vagina and pelvis (60%).[9] A common symptom is postmenopausal bleeding. The diagnosis can be made with endometrial curettage.

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