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Rare disease
CASE REPORT
Carcinosarcoma of the uterine cervix: a rare pathological finding originating from mesonephric remnants
  1. Bárbara Ribeiro1,
  2. Raquel Silva2,
  3. Renata Dias2 and
  4. Vanda Patrício3
  1. 1 Gynecology and Obstetrics Department, Hospital de Braga, Braga, Portugal
  2. 2 Pathology, Instituto Português de Oncologia do Porto Francisco Gentil EPE, Porto, Portugal
  3. 3 Gynecology Oncology, Instituto Português de Oncologia do Porto Francisco Gentil, Porto, Portugal
  1. Correspondence to Dr Bárbara Ribeiro, b.2xc.ribeiro{at}gmail.com

Abstract

Carcinosarcoma of the uterine cervix is a very rare tumour that has been described in less than 70 cases in the literature. It is less common compared with carcinosarcoma of the uterine corpus and it can have two origins: the Müllerian ducts and the mesonephric duct remnants. The association of mesonephric carcinoma with a sarcomatous component was reported in only 11 cases, including the following. We describe a case of a 64-year-old woman, presenting with vaginal bleeding and a cervical lesion reported as a sarcoma of endometrial stroma in the first biopsy. After exclusion of distant disease, she was submitted to radical surgery and the final histopathological examination showed a carcinosarcoma of the cervix with mesonephric origin.

  • obstetrics, gynaecology and fertility
  • cancer-see oncology
  • cervical cancer
  • pathology

https://doi.org/10.1136/bcr-2018-227050

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    Footnotes

    • Contributors BR: as main author contributed to the acquisition of data and interpretation; planning of the article (conception), writing of the manuscript, revision of contents. RS: contributed to the acquisition of data and figures, writing of the article and revision of contents. RD: contributed to the acquisition of data and figures, writing of the article and revision of contents. VP: contributed to the acquisition of data and interpretation; planning of the article (conception), writing of the manuscript, revision of contents.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Patient consent for publication Not required.