Naina Kumar

Abstract

Malignant mixed mullerian tumour of uterus also called carcinosarcoma is a very rare and also very aggressive type of tumour involving both epithelial and mesenchymal component thus is considered as a metaplastic carcinoma. Common presentation of these patients is post-menopausal bleeding with uterine enlargement. Here we present the case of 55 year old women with post-menopausal bleeding. Total abdominal hysterectomy with good vaginal cuff with bilateral salpingo-oophrectomy with bilateral pelvic lymphadenectomy was done and a diagnosis of malignant mixed mullerian tumour with Genital Tuberculosis was made. Keywords: Mixed Malignant Mullerian Tumor.

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Abstract

Endometrial carcinoma is one of the commonest gynecological cancers of female genital tract, usually occurring after menopause. Supraclavicular lymph node is one of the rare sites of metastasis in the endometrial carcinoma. The present article illustrates the typical and atypical metastasis, surgical staging and role of lymph node dissection in patients with endometrial carcinoma. Typical sites are pelvic, the para-aortic nodes, the peritoneum, and lungs. Atypical sites are extra-abdominal lymph nodes, brain, bones, liver, soft tissue and adrenals. It is therefore important for the radiologists to recognize typical & atypical sites of metastases seen in patients of endometrial carcinoma so as to facilitate early diagnosis and treatment. Keywords: Endometrial carcinoma, Lymph node, Metastasis, Menopause.

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