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Gynaecology & Obstetrics General f5375f86

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

A
Homologous sarcoma
B
Sarcoma uterus
C
Wed Mullerian carcinogenesis
D
Heterologous sarcoma
High-Yield Explanation
Ans. is c i.e. Mixed Mullerian carcinoma Mixed mullerian carcinoma is mixture of both carcinomatous and sarcomatous element. Represent 50% of all uterine sarcoma. Most common combination is of serous carcinoma with endometrial sarcoma. They most commonly occur in postmenopausal women. Remember : Most common histologic`type of uterine sarcoma is leiomyosarcoma.deg Most common symptom of uterine sarcoma is bleeding. Surgery is main stay of treatment. Also know : Heterologous tumors : If sarcoma component of mixed mullerian tumors mimic extra uterine tissue (viz - striated muscle cell, cailage, 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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