Adenosarcoma of the uterine cervix with heterologous elements: a case report and review of literature

Arch Gynecol Obstet. 2010 Apr;281(4):669-75. doi: 10.1007/s00404-009-1200-3. Epub 2009 Aug 15.

Abstract

Introduction: Adenosarcoma of the uterus is a rare tumor composed of benign epithelial and malignant stromal components, usually encountered in young women. Till date, more than 100 cases of mullerian adenosarcoma of the cervix with homologous elements have been reported. However, only 15 cases of mullerian adenosarcoma of the cervix with heterologous elements are reported.

Materials and methods: We describe a case of mullerian adenosarcoma with heterologous elements of rhabdomyosarcoma and benign cartilage presenting as a cervical polyp in a young girl. The clinicopathological features and management of this rare entity is reviewed.

Conclusion: Cervical adenosarcomas are rare tumors that may appear in reproductive age. Optimal therapy is still unclear, and a long-term follow-up is essential. Such cases need to be reported as accumulation of individual cases will be able to provide knowledge about its optimal therapy and prognosis.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adenosarcoma / pathology*
  • Adolescent
  • Cartilage / pathology
  • Cervix Uteri / pathology*
  • Female
  • Humans
  • Rhabdomyosarcoma / pathology
  • Uterine Cervical Neoplasms / pathology*