Malignant mixed Mullerian tumor of the uterine corpus with alpha-fetoprotein-producing hepatoid adenocarcinoma component

Gynecol Oncol. 2003 Nov;91(2):444-8. doi: 10.1016/s0090-8258(03)00512-2.

Abstract

Objectives: Hepatoid adenocarcinoma is a rare tumor and has the histological coexistence of well-differentiated adenocarcinoma and nests of hepatoid cells with immunoreactivity for alpha-fetoprotein (AFP). A case of hepatoid adenocarcinoma in malignant mixed Mullerian tumor of the uterus is presented with a review of the literature.

Case: The patient is a 63-year-old woman who complained of abnormal genital bleeding. Serum AFP concentration was 5060 ng/ml. Histologically, the tumor was composed of endometrioid adenocarcinoma, neoplastic hepatoid cells, and sarcoma component including leiomyosarcoma and rhabdomyosarcoma. After operation followed by six courses of platinum-based chemotherapy, serum levels of AFP dropped into normal range.

Conclusions: This is, to our knowledge, the first report of malignant mixed Mullerian tumor of the uterus with an AFP-producing hepatoid adenocarcinoma component.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Carcinoma, Hepatocellular / metabolism*
  • Carcinoma, Hepatocellular / pathology*
  • Female
  • Humans
  • Middle Aged
  • Mixed Tumor, Mullerian / metabolism*
  • Mixed Tumor, Mullerian / pathology*
  • Uterine Neoplasms / metabolism*
  • Uterine Neoplasms / pathology*
  • alpha-Fetoproteins / biosynthesis*

Substances

  • alpha-Fetoproteins