MULLERIAN ADENOSARCOMA OF THE UTERUS WITH PURE ANGIOSARCOMA - CASE-REPORT

We report a case of müllerian adenosarcoma of the uterus with benign endometrioid epithelial component and histologically pure angio-sarcoma. This seemingly unique sarcomatous ingredient, among uterine and extrauterine adenosarcomas reported in the English literature, is considered to be a homologous component of the tumor. The patient, a 71-year-old woman with a several-month history of intermittent vaginal bleeding, was found at abdominal hysterectomy to have a large polypoid intrauterine tumor with superficial extension into the myometrium. The patient was treated with 6,000 rad of adjuvant radiation but died a few months after of what clinically appeared to be massive abdominal bleeding. The literature regarding uterine tumors classified as angiosarcoma or malignant hemangioendothelioma is briefly reviewed. © 1991.