Case Report of Successful Childbearing after Conservative Su
Mullerian adenosarcoma (MA) is a rare tumor with usually low malignancy potential and has been reported to account for 8% of all uterine sarcomas. MAs are composed of two different components: sarcomatous stromal lesions (usually of the endometrial low-grade stromal type) and benign or mildly atypical epithelial elements [1–3]. The presence of one or more of the following criteria results in a diagnosis of MA: a stromal mitotic count of 2 or more mitotic figures/10 HPF, marked stromal cellularity, and mild or moderate nuclear atypia of the stromal cells [4]. The most frequent primary site of MA is the uterine endometrium, but these tumors can also arise (albeit rarely) in uterine cervix, ovary, vagina, and fallopian tubes.

A 28-year-old healthy nulliparous woman presented with a short history of metrorrhagia of 30-day duration. Previous medical history was unremarkable. Pelvic examination revealed a 4 × 5?cm friable cervical mass with an irregular and hemorrhagic surface that appeared to be protruding through the cervical ostium. Transvaginal ultrasonography showed a normal shape of the uterine corpus and a smooth endometrium. The tumor was resected for biopsy. Macroscopically, the tumor presented as an irregular polypoid mass with granular and papillary surface....