Quick Case: Malignant mixed Mullerian tumor presenting as pelvic tuberculosis

samanta-MMMTA 50-year-old post-menopausal woman presented with post-menopausal bleeding, poor health, weight loss, fever and abdomino-pelvic discomfort for the last 6 months. Clinically, she appeared to be suffering from pelvic infection, possibly tuberculosis. Imaging revealed a bulky uterus with pelvic lymphadenopathy. A total abdominal hysterectomy with bilateral salpingo-oophorectomy was done. Histopathology confirmed the diagnosis of malignant mixed Mullerian tumor, or carcinosarcoma, with extensive peritoneal deposits [see figure]. Within 6 weeks of diagnosis, the patient died due to extensive pulmonary, liver and brain metastatic disease.
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Learning Points/Take Home Messages

Malignant tumors may mislead as infective pathology. A thorough pre-operative work-up, especially tissue diagnosis, is essential before any radical surgery.

About The Author

Dr. Samanta, MBBS, MD is currently a consultant at Suraksha diagnostic PVT. LTD. Kolkata, India for histopath, cytopath and hematology. His other interests are: oncopathology, bone marrow and neuropathology.



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