Primary Carcinosarcoma of the Uterine Cervix: Report of a Case and Review of the Literature

Background: Cervical carcinosarcoma is extremely rare. A case of cervical carcinosarcoma is presented and the literature is reviewed. Case: Amultiparous woman in her mid-40s, with multiple medical comorbidities, including a body mass index of 48, had an adenocarcinoma identified on routine cervical cytology testing. The cytology was human papilloma virus p16/18- negative, raising suspicion of a primary endometrial rather than a cervical carcinoma but a cervical mass was detected. This patient underwent a robotic-assisted radical hysterectomy and pelvic lymph-node dissection for stage IB1 cervical carcinosarcoma. Results: This patient's postoperative course was complicated by ileus, which resolved spontaneously. Conclusions: Because of the rarity of this lesion, there are no specific treatment protocols. Spread from a uterine primary needs to be ruled out.