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Case Report
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| Müllerian adenosarcoma of cervix in a young nulliparous woman | ||||||
| Sameera Begum Kader Ibrahim1, Prasanta Kumar Deka2, Tham Seng Woh3 | ||||||
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1MD, Professor, Department of Obstetrics and Gynaecology, Melaka Manipal Medical College, Melaka, Malaysia.
2MD, Associate Professor, Department of Obstetrics and Gynaecology, Melaka Manipal Medical College, Melaka, Malaysia. 3MD, Head of the Department, Department of Obstetrics and Gynaecology, Melaka Government Hospital, Melaka, Malaysia. | ||||||
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| How to cite this article: |
| Ibrahim SBK, Deka PK, Woh TS. Müllerian adenosarcoma of cervix in a young nulliparous woman. International Journal of Case Reports and Images 2013;4(11):602–606. |
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Abstract
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Introduction:
Müllerian adenosarcoma is a rare tumor of the cervix. Typical adenosarcoma presents as a large polypoid mass occupying the endometrial cavity. It occurs mainly in postmenopausal women. It is a very rare occurrence in adolescent girls and young adults. To date, this neoplasm has been reported in only 10 young adult and adolescent girls. The tumor tends to recur locally rather than to disseminate to distant areas.
Case Report: A 23-year-old female, single, sexually not active and nulliparous presented to a private hospital for complaints of prolonged menstruation of six months duration. Speculum examination revealed cauliflower like growth arising from the cervix. Polypectomy and hysteroscopic diagnostic dilatation and curettage was done. Histopathology of the specimens showed cervical polyp with features of well- differentiated Müllerian adenosarcoma of low grade with endometrium in secretory phase. A total abdominal hysterectomy, bilateral salpingo- oophorectomy, omentectomy, pelvic and paraaortic lymphadenectomy, appendicectomy were done. Conclusion: Adenosarcoma most commonly arises from the endometrium, but some cases from the endocervix. In postmenarchal adolescents, these polypoid tumors usually arise from the cervix, in contrast to postmenopausal women in whom they usually arise from the endometrium. Cervical Müllerian adenosarcoma usually treated by radical hysterectomy even in younger age group as there is higher chance of recurrence later following conservative surgical management. The presence of malignancy should be always kept in mind while resecting a cervical polyp. | |
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Keywords:
Müllerian adenosarcoma, Endometrium, Cervix, Polyp, Vaginal bleeding
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Author Contributions
Sameera Begum – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Prasanta kumar Deka – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Final approval of the version to be published Tham Seng Woh – Substantial contributions to conception and design, Acquisition of data, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© Sameera Begum et al. 2013; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.) |
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