Abstract
Introduction: Mullerian adenosarcoma is a rare tumor of the cervix. typical adenosarcoma presents as a large polypoid mass occupying the endometrial cavity. It occurs mainly in postmenopausal women. It is a very rare occurrence in adolescent girls and young adults. to date, this neoplasm has been reported in only 10 young adult and adolescent girls. the tumor tends to recur locally rather than to disseminate to distant areas. case report: A 23-year-old female, single, sexually not active and nulliparous presented to a private hospital for complaints of prolonged menstruation of six months duration. speculum examination revealed cauliflower like growth arising from the cervix. Polypectomy and hysteroscopic diagnostic dilatation and curettage was done. Histopathology of the specimens showed cervical polyp with features of welldifferentiated Mullerian adenosarcoma of low grade with endometrium in secretory phase. A total abdominal hysterectomy, bilateral salpingooophorectomy, omentectomy, pelvic and
Highlights
Müllerian adenosarcoma is a rare tumor of the cervix
Cervical Müllerian adenosarcoma usually treated by radical hysterectomy even in younger age group as there is higher chance of recurrence later following conservative surgical management
We report one case of Müllerian adenosarcoma of the cervix because of its rarity
Summary
Müllerian adenosarcoma of the uterus is a rare tumor containing benign glandular epithelial and malignant mesenchymal elements. Typical adenosarcoma is a lowgrade tumor, presents as a large polypoid mass occupying the endometrial cavity and may protrude into the vaginal cavity [1]. Speculum examination revealed a cauliflower like growth measuring about 6x6 cm arising from the cervix and a diagnosis of cervical polyp was made. The diagnosis of cervical polyp with features of well differentiated Müllerian adenosarcoma of low grade with endometrium in secretory phase was given. She was referred to our hospital —Government. A total abdominal hysterectomy, bilateral salpingooophorectomy, omentectomy, pelvic and paraaortic lymphadenectomy, appendicectomy, a 5-cm resection of small bowel and end-to-end anastomosis were done and peritoneal fluid was sent for cytological study
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