Malignant mixed Mullerian tumour of the uterus

Case contributed by Dr Matthew Lukies

Presentation

Large volume post-menopausal per vaginal bleeding.

Patient Data

Age: 65 years
Gender: Female
  • Enlarged uterus with a heterogeneously hypodense mass occupying the endocervical canal and extending into the uterine cavity. Minor heterogeneous contrast enhancement. Preserved fat plane surrounding the uterus with no direct invasion into the rectum or bladder demonstrated.
  • No visceral metastases.
  • Lytic lesions in the lower thoracic and lumbar vertebral bodies suspicious for metastases, as well as degenerative changes throughout the vertebral column
  • Mildly fatty liver, borderline enlarged spleen and diverticulosis

Case Discussion

The lesion in the endocervical canal and uterine cavity had been biopsied via hysteroscopy prior to this CT and was confirmed on histology to be malignant mixed Mullerian tumour of the uterus (carcinosarcoma).

Post-menopausal per vaginal bleeding is the most common clinical presentation for malignant mixed Mullerian tumour of the uterus, which is typically highly aggressive with poor prognosis.

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Case information

rID: 55192
Case created: 24th Aug 2017
Last edited: 14th Sep 2017
System: Gynaecology
Inclusion in quiz mode: Included
Institution: Alfred Hospital

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