Mullerian Adenosarcoma Of The Uterus With Sarcomatous Overgrowth

Mullerianadenosarcoma is an uncommon variant of mixed mesodermal tumour of the uterus. This is a case report of a 47-year-old lady who initially presented with amenorrhea followed by abnormal vaginal bleeding and a mass protruding through the os which was biopsied. Histopathological examination revealed a tumour comprising of an admixture of benign endometrial glandular component and a sarcomatous stromal component characteristic of adenosarcoma. Patient was lost to follow-up for 2 years, and returned subsequently with relapse of symptoms following which abdominal hysterectomy with polypectomy and bilateral salphingo-ooophorectomy was done. The polyp contained an adenosarcoma with sarcomatousovergrowth.The distinctive morphological features of this rare tumour are emphasized here.