title: [Integrative management using Ayurvedic medicine in a patient with advanced malignant mixed Muellerian tumor - a case report].
abstract: BACKGROUND
  Carcinosarcoma of the uterus is a rare malignant tumor with an extremely poor prognosis. Because there are just a few cases described, there is little evidence on possible treatment options. An improvement in the overall unsatisfactory therapeutic situation is required.
  
  
  METHODS
  The management of an advanced stage uterine carcinosarcoma, at the time of primary diagnosis in FIGO stage 4, in a 67-year-old woman is described, including multiple surgical interventions, radiotherapy, chemotherapy, and the complementary use of elements of Ayurvedic medicine. To this date, the 3-year follow-up revealed no evidence of distant metastasis. A high quality of life could be ensured continuously.
  
  
  CONCLUSIONS
  Even with poor prognosis, tumor entities can be controlled by using all the available medical resources, enabling a satisfactory quality of life over a longer period of time. For this reason, the complementary use of the traditional medical system Ayurveda could be helpful.
authors.affiliation: Krankenhaus Rotthalmünster, Abteilung für Gynäkologie, AyurSan-Klinik, Rotthalmünster, Deutschland.
authors.forename: Ludwig
authors.initials: L
authors.lastname: Kronpaß
authors.forename: Stefan
authors.initials: S
authors.lastname: Krampol
authors.forename: Petra
authors.initials: P
authors.lastname: Brattinger
authors.forename: Elmar
authors.initials: E
authors.lastname: Stapelfeldt
authors.forename: Christian
authors.initials: C
authors.lastname: Kessler
mesh_terms: D000368:Aged; D002296:Carcinosarcoma / Q000628:therapy*; D005260:Female; D006801:Humans; D055048:Integrative Medicine; D008515:Medicine, Ayurvedic; D011788:Quality of Life; D016896:Treatment Outcome; D014594:Uterine Neoplasms / Q000628:therapy*