Malignant Müllerian Mixed Tumor of the Uterine Cervix with a Small Cell Neuroendocrine Carcinoma Component

Malignant Müllerian mixed tumors (MMMTs) of the uterine cervix are extremely rare, accounting for 0.005% of all cervical malignancies. To date, only approximately 50 well-documented cases have been reported. Although several epithelial components have been described in cervical MMMTs, small cell neu...

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Main Authors: Satoru Munakata, Emi Iwai, Tomohito Tanaka, Michihiko Nakamura, Takayoshi Kanda
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Pathology
Online Access:http://dx.doi.org/10.1155/2013/630859
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author Satoru Munakata
Emi Iwai
Tomohito Tanaka
Michihiko Nakamura
Takayoshi Kanda
author_facet Satoru Munakata
Emi Iwai
Tomohito Tanaka
Michihiko Nakamura
Takayoshi Kanda
author_sort Satoru Munakata
collection DOAJ
description Malignant Müllerian mixed tumors (MMMTs) of the uterine cervix are extremely rare, accounting for 0.005% of all cervical malignancies. To date, only approximately 50 well-documented cases have been reported. Although several epithelial components have been described in cervical MMMTs, small cell neuroendocrine carcinoma (SCC) has not appeared in the English literature. We present a 43-year-old woman, para 2 gravida 2, who had MMMT with SCC and rhabdomyosarcoma components in the uterine cervix. She was referred to our hospital because of a cervical mass with an abnormal Pap smear result. Cervical biopsy revealed SCC. After neoadjuvant chemotherapy with balloon-occluded arterial infusion, she underwent type II radical hysterectomy with pelvic lymphadenectomy. Histological analysis revealed that the cervical tumor comprised SCC and rhabdomyosarcoma components. Genotype analysis indicated human papillomavirus type 18. She underwent concurrent chemoradiation therapy. The patient had been free of the disease and showed no evidence of recurrence 38 months after operation.
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spelling doaj-art-b3ae10b18c354f2b97313ff897dd3b842025-02-03T01:23:19ZengWileyCase Reports in Pathology2090-67812090-679X2013-01-01201310.1155/2013/630859630859Malignant Müllerian Mixed Tumor of the Uterine Cervix with a Small Cell Neuroendocrine Carcinoma ComponentSatoru Munakata0Emi Iwai1Tomohito Tanaka2Michihiko Nakamura3Takayoshi Kanda4Department of Pathology, Osaka Minami Medical Center, 2-1 Kidohigashi, Kawachinagano, Osaka 586-8521, JapanDepartment of Obstetrics and Gynecology, Osaka Minami Medical Center, 2-1 Kidohigashi, Kawachinagano, Osaka 586-8521, JapanDepartment of Obstetrics and Gynecology, Osaka Minami Medical Center, 2-1 Kidohigashi, Kawachinagano, Osaka 586-8521, JapanDepartment of Obstetrics and Gynecology, Osaka Minami Medical Center, 2-1 Kidohigashi, Kawachinagano, Osaka 586-8521, JapanDepartment of Obstetrics and Gynecology, Osaka Minami Medical Center, 2-1 Kidohigashi, Kawachinagano, Osaka 586-8521, JapanMalignant Müllerian mixed tumors (MMMTs) of the uterine cervix are extremely rare, accounting for 0.005% of all cervical malignancies. To date, only approximately 50 well-documented cases have been reported. Although several epithelial components have been described in cervical MMMTs, small cell neuroendocrine carcinoma (SCC) has not appeared in the English literature. We present a 43-year-old woman, para 2 gravida 2, who had MMMT with SCC and rhabdomyosarcoma components in the uterine cervix. She was referred to our hospital because of a cervical mass with an abnormal Pap smear result. Cervical biopsy revealed SCC. After neoadjuvant chemotherapy with balloon-occluded arterial infusion, she underwent type II radical hysterectomy with pelvic lymphadenectomy. Histological analysis revealed that the cervical tumor comprised SCC and rhabdomyosarcoma components. Genotype analysis indicated human papillomavirus type 18. She underwent concurrent chemoradiation therapy. The patient had been free of the disease and showed no evidence of recurrence 38 months after operation.http://dx.doi.org/10.1155/2013/630859
spellingShingle Satoru Munakata
Emi Iwai
Tomohito Tanaka
Michihiko Nakamura
Takayoshi Kanda
Malignant Müllerian Mixed Tumor of the Uterine Cervix with a Small Cell Neuroendocrine Carcinoma Component
Case Reports in Pathology
title Malignant Müllerian Mixed Tumor of the Uterine Cervix with a Small Cell Neuroendocrine Carcinoma Component
title_full Malignant Müllerian Mixed Tumor of the Uterine Cervix with a Small Cell Neuroendocrine Carcinoma Component
title_fullStr Malignant Müllerian Mixed Tumor of the Uterine Cervix with a Small Cell Neuroendocrine Carcinoma Component
title_full_unstemmed Malignant Müllerian Mixed Tumor of the Uterine Cervix with a Small Cell Neuroendocrine Carcinoma Component
title_short Malignant Müllerian Mixed Tumor of the Uterine Cervix with a Small Cell Neuroendocrine Carcinoma Component
title_sort malignant mullerian mixed tumor of the uterine cervix with a small cell neuroendocrine carcinoma component
url http://dx.doi.org/10.1155/2013/630859
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AT tomohitotanaka malignantmullerianmixedtumoroftheuterinecervixwithasmallcellneuroendocrinecarcinomacomponent
AT michihikonakamura malignantmullerianmixedtumoroftheuterinecervixwithasmallcellneuroendocrinecarcinomacomponent
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