Mesonephric carcinoma of the cervix

Case contributed by Ruzan Khondkaryan
Diagnosis certain

Presentation

Menstrual disorder

Patient Data

Age: 50 years
Gender: Female
ultrasound

The uterine cervix is thickened, heterogeneous, with slight hyperechoic, hypervascular, ovalar, well-defined tissue mass measuring 30x23 mm.

The patient underwent a Pap smear, which didn't show any abnormality. Then a biopsy was performed.

pathology

Histology report revealed mesonephric carcinoma of the cervix.

Case Discussion

Mesonephric carcinoma is a very rare historical type of cervical carcioma (~3%) arising from remnants of the mesonephric (Wolffian) ducts. PAP smear isn't usually enough to discover this type of cancer 1.

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