A CASE REPORT: ADENOSARCOMA OF UTERUS IN A YOUNGNULLIGRAVIDA

Abstract

A 33 yr old nulligravida lady who underwent a Haultains procedure for uterine inversion 6
months back came with complaints of excessive bleeding per vaginum. On examination,
uterus was corresponding to about twenty weeks of gestation. Usg done shows 6*5 cm polyp
arising from fundus. Endometrial aspiration was done. Report suggestive of adenosarcoma of
uterus. Patient underwent debulking surgery. Bilateral salpingoopherectomy could not done
as ovaries were adhered to bowel on both sides and patient’s relatives were not interested in
colostomy or bowel resection. On postoperative day 12, patient was started on first cycle of
chemotherapy. Inj Adriamycin, Inj Ifosfamide along with Mesna were given. Now she has
completed 6 cycles of chemotherapy followed by EBRT for residual disease.
Conclusion: Adenosarcoma is a rare variety of Malignant Mixed Mullerian tumor of low
malignant potential with benign glandular and malignant stromal component. This is most
common in postmenopausal female and the most common presentation is abnormal uterine
bleeding. There are only few cases reported in literature. Lack of awareness of this entity may
lead to misdiagnosis in a young patient.