Uterine Carcinosarcoma: A rare cause for postmenopausal bleeding: Uterine carcinosarcoma

Neebha Ojha; Eliza  Shrestha; Jasma Mally; Rupam Pandey; Snigdha Rai

Authors

Neebha Ojha Assoc. Prof., Dept. of Obstetrics and Gynaecology, Institute of Medicine, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal https://orcid.org/0000-0003-3518-2425
Eliza Shrestha Junior Consultant, Dept. of Gynecology, Bhaktapur Cancer Hospital, Bhaktapur, Kathmandu, Nepal http://orcid.org/0000-0002-4572-3523
Jasma Mally Registrar, Dept. of Gynecology, Bhaktapur Cancer Hospital, Bhaktapur, Kathmandu, Nepal http://orcid.org/0000-0002-8231-6863
Rupam Pandey Medical Officer, Dept. of Gynecology, Bhaktapur Cancer Hospital, Bhaktapur, Kathmandu, Nepal http://orcid.org/0000-0003-4970-217X
Snigdha Rai Asst. Prof., Paropakar Maternity and Women’s Hospital, Thapathali, Kathmandu, Nepal http://orcid.org/0000-0001-6278-5681

Keywords:

carcinosarcoma, postmenopausal bleeding, rare uterine tumors

Abstract

Uterine carcinosarcoma is a rare aggressive tumor also known as Malignant Mixed Mullerian Tumor. Prognosis is poor with 30-40% having extrauterine involvement at the first presentation and over 10% with distant metastasis. The primary treatment is surgery, along with radio-chemotherapy. We report a case of uterine carcinosarcoma in a 65 y para four lady who presented with blood mixed discharge per vagina for 1 mo and polypoidal mass through the cervical os. Endometrial biopsy showed carcinosarcoma. She was managed with surgery. She received paclitaxel and carboplatin chemotherapy and with no recurrences at 6mo. Written consent was obtained for the case report

Author Biography

Snigdha Rai, Asst. Prof., Paropakar Maternity and Women’s Hospital, Thapathali, Kathmandu, Nepal

https://doi.org/10.3126/jpahs.v8i1.36866

Uterine Carcinosarcoma: A rare cause for postmenopausal bleeding