doiSerbia

Extragenital malignant mixed Mullerian tumor in the incisional hernia - primary carcinosarcoma in the abdominal wall: Case report

Žuvela Marinko (Clinical Center of Serbia, Clinic for Digestive Surgery, Belgrade + School of Medicine, Belgrade)
Micev Marjan (Clinical Center of Serbia, Clinic for Digestive Surgery, Belgrade + School of Medicine, Belgrade)
Terzić Milan (University of Belgrade, School of Medicine, Belgrade, Serbia; Clinic of Gynecology and Obstretics, Clinical Center of Serbia, Belgrade)
Šaranović Đorđije (Clinical Center of Serbia, Clinic for Digestive Surgery, Belgrade + School of Medicine, Belgrade)
Galun Danijel (Clinical Center of Serbia, Clinic for Digestive Surgery, Belgrade + School of Medicine, Belgrade)
Milićević Miroslav (Clinical Center of Serbia, Clinic for Digestive Surgery, Belgrade + School of Medicine, Belgrade)

Introduction. This report presents a primary Mullerian carcinosarcoma localized in the incisional hernia i.e. anterior abdominal wall. There is no data in the literature about this localization of extragenital Mullerian carcinosarcoma. Case Outline. The patient had previous medical history of right-sided ovarian cystadenocarcinoma managed by hysterectomy, bilateral ovariectomy and chemotherapy. An incisional hernia occurred 1 year after the operation and Mullerian carcinosarcoma at the right border of the incisional hernia 16 years later. There was no tumor spreading into the abdominal cavity and pelvis. Full thickness of the abdominal wall resection and coexisting incisional hernia resulted in a large 25x20 cm abdominal wall defect managed by the modified components separation technique and implanting meshes. Conclusion. Major abdominal wall resection and abdominal wall reconstruction using the modified components separation technique reinforced with meshes could be one of possible solutions in the surgical treatment of primary malignant mixed Mullerian tumor localized in the abdominal wall.

Keywords: Müllerian carcinosarcoma, components separation technique, abdominal wall, incisional hernia

Projekat Ministarstva nauke Republike Srbije, br. 41030