P30.10: Ultrasound and clinical features of uterine carcinosarcoma

Abstract

To describe the ultrasound and clinical characteristics of uterine carcinosarcoma. Consecutive patients with a histological diagnosis of uterine carcinosarcoma were retrospectively recruited from the database of our Gynecological Oncology Department. The sonographic reports and the digital images were analysed, recording the following features: diameters of the lesion, echogenicity, cones of shadow, cystic areas, calcifications, vascularisation. 26 patients were included in the study. Twenty-four women (92%) were in menopause. The median age of the patients was 68 years-old (range 44-87). Abnormal vaginal bleeding was presented in twenty-one out of twenty-six women (81%). The median largest diameter was 58 mm (range 15-145 mm). The tumour appeared heterogeneous in twenty-three out of twenty-six cases (88%), with irregular border in nineteen out of twenty-six cases (73%) with discrete to rich vascularisation (colour score 3 and 4) in twenty-two out of twenty-six (85%) cases. Irregular cystic areas have been found in only four out of twenty six (15%) patients. Shadowing was observed in 3 out of 26 (11%) patients. Seventeen out of twenty-six (65%) lesions infiltrated both endometrium and myometrium, in two cases out of twenty-six (8%), lesions appeared cauliflower-shaped. Abdominal distention, weight loss and asthenia Uterine heterogeneous lesions with irregular borders, rich vascularisation, and both endometrial and myometrial extension, diagnosed in menopause, are suspicious for uterine carcinosarcoma.