01.06.2017 | images in clinial medicine
Malignant mixed müllerian tumor mimicking cervical carcinoma
Erschienen in: Wiener klinische Wochenschrift | Ausgabe 11-12/2017
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A 58-year-old female patient presented with fever lasting for 30 days, frequent urination, pressure in the lower abdomen, and vaginal discharge. Laboratory findings showed elevated serum inflammatory parameters and normal levels of tumor markers (CA 125, CA 19-9, Ca 15-3). A gynecological examination revealed a necrotic mass in the vagina with the suspicion of bilateral parametrial invasion and invasion of the pelvic wall. Abdominal ultrasound (US) revealed a 9-cm uterine mass and transvaginal US identified a cystic mass within the cervix likely filled with purulent content. The clinical diagnosis was cervical carcinoma FIGO3B. Cervical biopsy was repeated five times in the next 20 days, but the histopathological examination revealed necrosis without tumor elements. …Anzeige