title: Extragenital malignant mixed Mullerian tumor in the incisional hernia - primary carcinosarcoma in the abdominal wall: case report.
abstract: BACKGROUND
  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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
authors.forename: Marinko
authors.initials: M
authors.lastname: Žuvela
authors.forename: Marjan
authors.initials: M
authors.lastname: Micev
authors.forename: Milan
authors.initials: M
authors.lastname: Terzić
authors.forename: Djordjije
authors.initials: D
authors.lastname: Šaranović
authors.forename: Danijel
authors.initials: D
authors.lastname: Galun
authors.forename: Miroslav
authors.initials: M
authors.lastname: Milićević
mesh_terms: D000368:Aged; D002296:Carcinosarcoma / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D005260:Female; D046449:Hernia, Abdominal / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D059685:Herniorrhaphy / Q000009:adverse effects*; D006801:Humans; D018200:Mixed Tumor, Mullerian / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D061330:Multidetector Computed Tomography; D011183:Postoperative Complications; D012086:Reoperation; D014594:Uterine Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000601:surgery