title: Serous Ovarian Carcinoma Recurring as Malignant Mixed Mullerian Tumor.
abstract: Only five cases of recurrence of malignant mixed Mullerian tumor (carcinosarcoma) from the ovarian carcinoma have been published in the literature to our knowledge. A 64-year-old woman first underwent a total abdominal hysterectomy and bilateral salpingo-oophorectomy because of pelvic mass. Histological diagnosis was serous papillary carcinoma of the left ovary. After six courses of chemotherapy, CA125 level returned to normal range. However, she had persistent multiple mediastinal and para-aortic lymphadenopathies in spite of additional six courses of chemotherapy. Then she underwent the second operation about 2 years after primary surgery. Multiple excisional biopsies were taken from subcutaneous tissue, over the bowels and the left external iliac artery. The histopathological diagnosis which was confirmed by immunohistochemical study was malignant mixed Mullerian tumor for all metastatic foci. A rare case of ovarian serous papillary carcinoma recurring as malignant mixed Mullerian tumor is reported.
authors.affiliation: Department of Pathology, Cerrahpasa School of Medicine, Istanbul University, 34098 Istanbul, Turkey.
authors.forename: Demir
authors.initials: D
authors.lastname: Hale
authors.affiliation: Department of Pathology, Cerrahpasa School of Medicine, Istanbul University, 34098 Istanbul, Turkey.
authors.forename: Demiroz Ahu
authors.initials: DA
authors.lastname: Senem
authors.affiliation: Department of Pathology, Cerrahpasa School of Medicine, Istanbul University, 34098 Istanbul, Turkey.
authors.forename: Aydin
authors.initials: A
authors.lastname: Ovgu
authors.affiliation: Department of Obstetrics and Gynecology, Cerrahpasa School of Medicine, Istanbul University, 34098 Istanbul, Turkey.
authors.forename: Erenel
authors.initials: E
authors.lastname: Hakan
authors.affiliation: Department of Pathology, Cerrahpasa School of Medicine, Istanbul University, 34098 Istanbul, Turkey.
authors.forename: Ilvan
authors.initials: I
authors.lastname: Sennur
authors.affiliation: Department of Pathology, Cerrahpasa School of Medicine, Istanbul University, 34098 Istanbul, Turkey.
authors.forename: Calay
authors.initials: C
authors.lastname: Zerrin
authors.affiliation: Department of Obstetrics and Gynecology, Cerrahpasa School of Medicine, Istanbul University, 34098 Istanbul, Turkey.
authors.forename: Demirkiran
authors.initials: D
authors.lastname: Fuat