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Gynaecology & Obstetrics General d55904de

A female patient has adenocarcinoma uterus along with sarcoma of uterus. It is known as:

A
Homologous sarcoma
B
Sarcoma uterus
C
Mixed Mullerian carcinogenesis
D
Heterologous sarcoma
High-Yield Explanation
Mixed mullerian carcinoma is a mixture of both carcinomatous and sarcomatous element.           Represent 50% of all uterine sarcoma. Most common combination is of serous carcinoma with endometrial sarcoma. Most commonly occur in postmenopausal women. Remember: Most common histologic type of uterine sarcoma is carcinosarcoma. Most common symptom of uterine sarcoma is bleeding. Surgery is main stay of treatment followed by chemotherapy. Also know: Heterologous tumors: If sarcoma component of mixed mullerian tumors mimic extra uterine tissue (viz - striated muscle cell, cartilage, adipose tissue and bone) it is known as Heterologous tumor. Homologous tumor: If mesenchymal/ sarcomatous component of mixed mullerian tumor consists of malignant endometrial or smooth muscle differentiation, the term homologous is used.

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