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A RESEARCH STUDY ON LOW GRADE MULLERIAN ADENOSARCOMA OF POUCH OF DOUGLAS RECURRING AS BILATERAL OVARIAN HIGH GRADE MULLERIAN ADENOSARCOMA WITH RHABDOMYOSARCOMATOUS OVERGROWTH

Dr. Anab Naveed, Dr. Gulnaz Gulshan, Dr. Mubashar Iqbal

Mullerian adenosarcoma (MA) of ovary with sarcomatous (rhabdomyoblastic) excess is an amazingly uncommon harmful kind of female genital tract neoplasm. These tumors are exceptionally forceful and nearness of heterologous components is related with more awful visualization. A multi year old female gave lower stomach torment and distension. She had history of expulsion of tumor from pocket of Douglas in 2017 for which she didn't get any extra treatment nor did she keep consistent development. Current preoperative radiological examination uncovered respective ovarian masses. She experienced stomach hysterectomy with reciprocal oophorectomy. Infinitesimal examination uncovered biphasic tumors showing sarcomatous abundance with rhabdomyoblastic separation. Survey of the past biopsy uncovered second rate Mullerian adenosarcoma without sarcomatous excess. Subsequently the present tumor was viewed as intermittent. This report features the forceful idea of MA even with poor quality morphological highlights and underlines the significance of nonstop development and extra treatment. Keywords: sarcomatous overgrowth, extrauterine, Mullerian adenosarcoma, rhabomyoblastic differentiation.

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