Uterine carcinosarcoma: a rare cause for postmenopausal bleeding

Authors

  • Neebha Ojha Tribhuvan University Teaching Hospital, Kathmandu, Nepal
  • Eliza Shrestha Bhaktapur Cancer Hospital, Bhaktapur, Kathmandu, Nepal
  • Jasma Mally Bhaktapur Cancer Hospital, Bhaktapur, Kathmandu, Nepal
  • Rupam Pandey Bhaktapur Cancer Hospital, Bhaktapur, Kathmandu, Nepal
  • Snigdha Rai Paropakar Maternity and Women's Hospital, Kathmandu, Nepal

DOI:

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

Keywords:

Carcinosarcoma, Postmenopausal Bleeding, Rare Uterine Tumors

Abstract

Uterine carcinosarcoma is a rare aggressive tumor also known as Malignant Mixed MullerianTumor.  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 one month and polypoidal mass protruding through the cervical os. Endometrial biopsy showed carcinosarcoma. She was managed with surgery. She received adjuvant chemotherapy paclitaxel and carboplatin. There was no recurrence at six months follow-ups.

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Author Biographies

Neebha Ojha, Tribhuvan University Teaching Hospital, Kathmandu, Nepal

Associate Professor, Department of Obstetrics and Gynecology

Eliza Shrestha, Bhaktapur Cancer Hospital, Bhaktapur, Kathmandu, Nepal

Junior Consultant, Department of Obstetrics and Gynecology

Jasma Mally, Bhaktapur Cancer Hospital, Bhaktapur, Kathmandu, Nepal

Registrar, Department of Obstetrics and Gynecology

Rupam Pandey, Bhaktapur Cancer Hospital, Bhaktapur, Kathmandu, Nepal

Medical Officer, Department of Obstetrics and Gynecology

Snigdha Rai, Paropakar Maternity and Women's Hospital, Kathmandu, Nepal

Assistant Professor

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Published

2021-05-03

How to Cite

Ojha, N., Shrestha, E., Mally, J., Pandey, R., & Rai, S. (2021). Uterine carcinosarcoma: a rare cause for postmenopausal bleeding. Journal of Patan Academy of Health Sciences, 8(2), 131–135. https://doi.org/10.3126/jpahs.v8i1.36866

Issue

Section

General Section: Case Reports