title: [Primary paraurethral malignant mixed tumor (carcinosarcoma) of the vagina. A case report].
abstract: In total malignant mixed tumors (carcinosarcomas) represent a very rare gynecological neoplasm. In accordance with the embryological genesis primary localizations are with descending probability the uterus, the ovarians and finally the tubes. We report on a 55 year old female patient, with a paraurethral mass, which was primarily diagnosed in 1994. Histopathological evaluation of a transvaginal biopsy did not demonstrate evidence of malignancy at that time. After painful enlargement the paraurethral mass was resected surgically and histopathological evaluation revealed a primary paraurethral malignant mixed tumor (carcinosarcoma). Postoperatively, the patient underwent percutaneous (46.4 Gy) and intracavitary (2 x 6 Gy) radiation. Twelve months postoperatively there is no evidence of disease.
authors.affiliation: Klinik und Poliklinik für Urologie, MEK, Universität Köln.
authors.forename: M
authors.initials: M
authors.lastname: Braun
authors.forename: D
authors.initials: D
authors.lastname: Wendler
authors.forename: W
authors.initials: W
authors.lastname: Bersch
authors.forename: A
authors.initials: A
authors.lastname: Heidenreich
authors.forename: H P
authors.initials: HP
authors.lastname: Braun
mesh_terms: D001918:Brachytherapy; D002296:Carcinosarcoma / Q000175:diagnosis* / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D008875:Middle Aged; D018198:Mixed Tumor, Malignant / Q000175:diagnosis* / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery; D018714:Radiotherapy, Adjuvant; D014521:Urethra / Q000473:pathology / Q000601:surgery; D014523:Urethral Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery; D014621:Vagina / Q000473:pathology / Q000601:surgery; D014625:Vaginal Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000532:radiotherapy / Q000601:surgery