Title
Author
DOI
Article Type
Special Issue
Volume
Issue
Heterologeous mullerian mixed tumor after whole body irradiation because of Hodgkin's disease in stage IV
1Department of Gynecology and Obstetrics, University of Homburg/Saar, Gennany
*Corresponding Author(s): M. Friedrich E-mail:
Purpose: With an incidence of 1.5% of all malignant diseases of the uterus as specified in the literature, the mullerian mixed tumor is a rarity amongst the malignancies of the female genital tract.
Methods: A retrospective analysis of an individual case report with the occurrence of heterologous mullerian mixed tumor years after irradiation because of Hodgkin's disease.
Results: This case reports describes the occurrence of a mullerian mixed tumor 12 years after the treatment of Hodgkin's disease by whole body irradiation. To our knowledge, the incidence of a mullerian mixed tumor after the treatment of Hodgkin's disease has rarely been described up to now in the literature.
Conclusion: This case report appears to indicate the possible carcinogenic potency of radiotherapy when administered many years before. A causal connection between the administration of whole body irradiation and the development of a mullerian mixed tumor cannot be established.
Heterologous mullerian mixed tumor; Irradiation; Hodgkin's disease
R. Meyberg,C. Villena-Heinsen,R. Axt,W. Schmidt,M. Friedrich. Heterologeous mullerian mixed tumor after whole body irradiation because of Hodgkin's disease in stage IV. European Journal of Gynaecological Oncology. 2000. 21(2);160-163.
[1] Zaloudek C., Norris H.J.: "Mesenchymal tumors of the uterus" ln: Kurman R. J. (editor): "Blaustein's pathology of the femal genitaI tract". New York, Springer, 1987, 398.
[2] Hendrickson M. R., Kempson R. L.: "Surgical pathology of the uterine corpus". Philadelphia, W. B. Saunders, 1980, 429.
[3] Bocklage T., Kenneth R. L., Belinson J. L.: "Case Report: Uterine mullerian adenosarcoma following adenomyoma in a woman on tamoxifen therapy". Gynecol. Oneal., 1992, 44, 104.
[4] Silverberg S. G., Kurman R. J.: "Mixed epithelial-nonepithelial tumors". In: Silverberg S. G., Kurman R. J. (editors): "Atlas of tumor pathology: Tumors of the uterine corpusand gestational trophoblastic disease". Washington D. C., Armed F orces Institute of Pathology, Third series, F ascicle 3, 1992.
[5] Kleine W., Maier T., Geyer H., Pfleiderer A.: "Estrogen and progesterone receptors in endometrial cancer and their prognostic relevance". Gynecol. Oneal., 1990, 38, 59.
[6] Press M. F., Scully R. F.: "Endometrial sarcomas complicating ovarian thecoma, polycystic ovaran disease and estrogen therapy". Gynecol. Oncol., 1985, 21, 135.
[7] Alteras M. M., Jaffe R., Cohen I., Gruber A., Yanai-lnbar I., Bernheim J.: "Case Report: Role of prolonged estrogen stimulation in the pathogenesis of endometrial sarcomas: Two cases and a review of the literature". Gynecol. Oneal., 1990, 38, 273.
[8] Sasco A. J., Raffi F., Satge D. et al.: "Case Report: Endometrial mullerian carcinosarcoma after cessation of tamoxifen therapy for breast cancer". Int. J. Gynecol. Obstet., 1995, 48, 307.
[9] Stewart H. J., Knight M. G.: "Letter to the Editor". Lancet, 1989, 3, 325.
[10] Barakat R., Wong G., Curtin J. P., V lamis V., Hoskins W. J.: "Tamoxifen use in breast cancer patients who subsequently develop corpus cancer is not associated with a higher incidence of adverse histologic features". Gynecol. Oneal., 1994, 55, 164.
[11] Fischer B. et al.: "Endometrial cancer in tamoxifen-treated breast (..ancer patients: findings from the National Surgical Adjuvant Breast and Bowel Project (NSABP) B-14". J. Natl. Cancer Inst., 1994, 86, 527.
[12] Margriples U., Naftolin F., Schwartz P., Carengiu M. L.: "High grade endometrial carcinoma in tamoxifen-treated breast cancer patients". J. Clin. Oncol., 1993, 11, 485.
[13] van Leeuwen F. E., Benraadt J. et al.: "Risk of endometrial cancer after tamoxifen treatment of breast cancer". Lancet, 1994, 343, 448
[14] Binkley D., Haybittle J. L.: "The late effects of artificial menopause by X-radiation". Br. J. Radio!., 1969, 42, 519.
[15] Doll R., Smith P. G.: "The long-term effects of X-irradiation in patients treated for metropathia haemorrhagica". Br. J. Radiol., 1968, 41, 362.
[16] Hardell L.: "Pelvic irradiation and tamoxifen as risk factors for carcinoma of corpus uteri". Lancet, 1988 (Dec. 17), 1432.
[17] Palmer J. P., Spratt D. W.: "Pelvic carcinoma following irradiation for benign gynecological diseases". Am. J. Obst. Gynec., 1956 (Sept.), 497.
[18] Corscaden J. A.: "Carcinoma subsequent to the radiotherapeutJc menopause". Am. J. Obstet. Gynecol.. 1946, 51, 1.
[19] Costolow W.:'Treatment of uterine fibromyomas". J.A.M.A., 1941, 116, 464.
[20] Crossen R. J., Crossen H. S.: "Radiation therapy of utenne myoma". J.A.M.A., 1947, 133, 593.
[21] Montgomery J.B.,L ong J.P., Hoffman J.: "A clinical evaluation of the use of radium therapy in the control of benign uterine bleeding". Am. J. Obstet. Gynecol., 1952, 64, 1011.
[22] Hunter R. M., Ludwick H. V., Motley J. F., Oakes W.W.: "The use of radium in the treatment of benign lesions of the uterus: a critical 20-year survey". Am. J. Obstet. Gynecol., 1954, 67. 121.
Web of Science (WOS) (On Hold)
Journal Citation Reports/Science Edition
Google Scholar
JournalSeek
Top