Mullerian adenosarcoma of the cervix: case report with conservative management

  • Teco-Cortes J
  • Grube-Pagola P
  • Saldaña-Quiroz V
  • et al.
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Abstract

Background: Mullerian adenosarcoma is a rare gynecological malignancy with a low malignant potential, with biphasic growth, consisting of a benign epithelial element and a malignant mesenchymal element. It occurs in all ages predominating in postmenopausal women. Cervical localization of Mullerian adenosarcomas is rare; however, it is associated with a presentation in young women. The diagnosis is made by anatomopathological study of the lesion and immunohistochemistry. The prognosis is generally good although the recurrence rate is high. Clinical case: We present the case of a 27-year-old patient who attended a gynecological consultation with bleeding and transvaginal flow. During the gynecological examination, a polypoid lesion originating in the cervix was identified, which was removed by torsion and was diagnosed as Mullerian cervical adenosarcoma. Subsequently, a cervical cone was performed because the patient refused hysterectomy. Conclusions: Mullerian cervical adenosarcoma is a rare neoplasm with a recurrence rate that can reach up to 50% of cases, so close follow-up is necessary. A local excision can be considered in patients without poor prognosis factors and who wish to preserve their fertility.

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APA

Teco-Cortes, J. A., Grube-Pagola, P., Saldaña-Quiroz, V. A., & Alderete-Vázquez, G. (2019). Mullerian adenosarcoma of the cervix: case report with conservative management. Cirugía y Cirujanos (English Edition), 86(2). https://doi.org/10.24875/cirue.m18000028

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