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Extragenital malignant Müllerian carcinosarcoma with invasion of inferior vena cava – a case report


Authors: J. Moláček 1;  J. Brůha 1;  J. Baxa 2;  V. Opatrný 1;  V. Třeška 1
Authors‘ workplace: Chirurgická klinika, LF v Plzni, Univerzita Karlova v Praze, FN Plzeň přednosta: prof. MUDr. V. Třeška, DrSc. 1;  Klinika zobrazovacích metod, LF v Plzni, Univerzita Karlova v Praze, FN Plzeň přednosta: prof. MUDr. B. Kreuzberg, CSc. 2
Published in: Rozhl. Chir., 2016, roč. 95, č. 1, s. 45-47.
Category: Case Report

Overview

The authors present the case of a 57-year-old woman with a very rare extragenital malignant retroperitoneal Müllerian carcinosarcoma invading the inferior vena cava. Tumor resection with partial resection of the vena cava wall and resection of metastases in the pelvic area is described. The authors further discuss diagnostic options of metastases of this tumour and the recommended adjuvant chemotherapy.

Key words:
extragenital Müllerian carcinosarcoma − malignant mixed Müllerian tumour – diagnosis − therapy


Sources

1. Anupama R, Kuriakose S, Vijaykumar DK, et al. Carcinosarcoma of the uterus – a single institution retrospective analysis of the management and outcome and a brief review of literature. Indian Journal of Surgical Oncology 2013;4:222−8.

2. Bhoil A, Kashyap R, Bhattacharya A, et al. F-18 fluorodeoxyglucose positron emission tomography/computed tomography in a rare case of recurrent malignant mixed Müllerian tumor. World Journal of Nuclear Medicine 2014;13:64−6.

3. Koussidis GA, Douridas IA, Sotiropoulou M, et al. Pathogenesis and origin of extragenital Müllerian carcinosarcoma: evident or still vague? J Obstet Gynaecol 2013;33:427.

4. Ko ML, Jeng CJ, Huang SH, et al. Primary peritoneal carcinosarcoma (malignant mixed Müllerian tumor): Report of a case with five-year disease free survival after surgery and chemoradiation and a review of literature. Acta Oncologica 2005;44:756−60.

5. Sando Z, Fouelifack FY, Fouogue JT, et al. Carcinosarcoma of the corpus uteri (Malignant Müllerian mixed tumor): a case report in Yaoundé (Cameroon). The Pan African Medical Journal 2013;16:145.

6. Seidman JD, Serous tubal intraepithelial carcinoma localizes to the tubal-peritoneal junction: a pivotal clue to the site of origin of extrauterine high-grade serous carcinoma (ovarian cancer). Int J Gynecol Pathol 2015;34:112−20.

7. Hussein MR, Hussein SR, Abd-Elwahed AR. Primary peritoneal malignant mixed mesodermal (Müllerian) tumor. Tumori 2009;95:525–31.

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Surgery Orthopaedics Trauma surgery
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