The patient, a woman in her 60s with no significant medical history, sought medical attention due to experiencing irregular genital bleeding and a vulvar mass. An internal examination revealed an oversized uterus and a large mass within the lumen. Subsequent endometrial cytology indicated a possible adenocarcinoma. Consequently, the patient was referred to our hospital with a suspected diagnosis of uterine cancer. Should an additional MRI scan be performed to differentiate uterine carcinosarcoma from typical uterine carcinoma?

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Differential Diagnosis of Carcinosarcoma and Usual Endometrial Carcinoma

  • Nagaaki Marugami,
  • Junko Takahama,
  • Kimihiko Kichikawa

摘要

The patient, a woman in her 60s with no significant medical history, sought medical attention due to experiencing irregular genital bleeding and a vulvar mass. An internal examination revealed an oversized uterus and a large mass within the lumen. Subsequent endometrial cytology indicated a possible adenocarcinoma. Consequently, the patient was referred to our hospital with a suspected diagnosis of uterine cancer. Should an additional MRI scan be performed to differentiate uterine carcinosarcoma from typical uterine carcinoma?