Malignant Mixed Mullerian Tumour of Uterus
Journal Title: The Indian Practitioner - Year 2016, Vol 69, Issue 11
Abstract
Background: Malignant mixed Mullerian tumors (MMMTs) are metaplastic carcinomas including both carcinomatous and sarcomatous elements. Case: A 65-year-old postmenopausal female presented to outpatient department with chief complaints of blood mixed vaginal discharge for the last 10 days. Speculum examination revealed a large, necrotic, foul smelling polyp of approximately 4 x 4 centimeters size seen coming out through the external os. Vaginal examination revealed that the cervix was dilated and taken up and the same polypoid mass was felt coming out through the os. Polypectomy along with endometrial biopsy was done and tissue was sent for histopathological examination which revealed features of malignant mixed mullerian tumor in the polyp and the endometrial biopsy showed necrotic tissue. Result: Patient underwent total abdominal hysterectomy along with bilateral salpingoopherectomy and pelvic lymphnode sampling. On cut section of the uterine corpus, a polypoid growth of size 3 x 2 centimeters was identified which on histopathology confirmed the diagnosis of a homologous uterine malignant mixed mullerian tumor involving more than half the thickness of myometrium. Conclusion: With a highly aggressive nature and limited therapeutic options, MMMTs represent one of the most lethal neoplasms of the female genitourinary tract
Authors and Affiliations
V Malhotra, P Malhotra, S Nanda, A Mittal
Keywords
Related Articles
- EP ID EP578569
- DOI -
- Views 79
- Downloads 0
A comparative study of two important Flaviviridae infections in Burdwan district of West Bengal and adjacent areas
The changing trends in infection trends of two most important mosquito borne members - Japanese Encephalitis (JE) virus, and Dengue virus, were studied, in the rice-belt area of West Bengal (a JE endemic zone). Objectiv...
Evaluating Acute Chest Pain in A Primary Care Setting
In the primary care setting, approximately 1% of all visits are for chest pain. Though heart disease is the leading cause of death globally, yet < 2.5% of patients presenting to a primary care office with chest pain will...
Hypertensive Emergencies
Hypertensive emergencies (as distinct from hypertensive urgency) encompass a spectrum of clinical presentations in which uncontrolled blood pressures (BPs) lead to progressive or impending end-organ dysfunction. In these...
Antimicrobial Resistance in Salmonella Experience of an Infectious Diseases Hospital in Mumbai, India
Background: Enteric fever (EF) remains an important public health problem, particularly in the developing countries. The last two decades have witnessed the emergence of multidrug- resistant (MDR) salmonella strains. O...
Anaemia Of Old Age - Leave no Stone Unturned
Background: Malignant melanomas of the gastrointestinal (GI) tract are usually metastatic. Primary malignant melanoma of the GI tract is rare and occurs in the anorectum and oesophagus. Case: We report a case of a 60-yea...