Histological heterogeneity of tumours of female genital tract- an observation from commentary box of a tertiary care hospital in eastern India

Abstract

Cases of gynaecological malignancies are common albeit speculative in some instances owing to the marked sequential cyclic changes the female genital tract undergoes in a lifetime and also the amplitude of heterogeneity it can present with. Five selected cases posing considerable diagnostic challenges are presented here, among the Cases of Gynecological malignancies those were studied over the period of 3 years. Epithelioid leiomyosarcoma involving uterine corpus and unilateral ovary, high grade serous carcinoma with diffuse involvement of bilateral ovaries as well as endometrium and metastasis from occult gall bladder carcinoma to bilateral cystic ovaries are the first three cases. A case of uterine carcinosarcoma in a younger lady and an immature teratoma of ovary presenting with extensive gliomatosis peritonei are included in the last two cases. Each of these cases posed some unique diagnostic challenges as a virtue of their own.