Abstract
A case of malignant mixed mesodermal tumor (MMMT) of the uterine corpus in a 64-year-old woman is reported, Hermenarche was at the age of 16, she was a case of gravida III and para IV, and her menopause occurred at the age of 52. she was seen for genital bleeding and genital discharge. Gynecological cytology and biopsy revealed immature adenocarcinoma cells. Laparotomy demonstrated the tumor originating from the uterine corpus, disseminating to the bladder and peritoneum. The uterus and both adnexa were resected. The white and soft tumor located in the fundus uteri was diagnosed as MMMT including adenocarcinoma, chondrosarcoma, leiomyosarcoma and rhabdomyosarcoma. Post operative anticancer chemotherapy was performed.
she died of ileus caused by disseminating peritoneal metastasis 6 months after the operation. Autopsy findings showed that all abdominal organs were adhered by tumor metastasis. Histologically, the tumor consisted mainly of sarcomatous component based on mucinous stroma. This finding may indicate that poor prognosis is affected by sarcomatous component of the tumor.
