This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Gynaecology & Obstetrics
A female patient has adenocarcinoma uterus along with sarcoma of uterus. it is known as : 
Select and explain. 
A. Homologous sarcoma, B. Sarcoma uterus, C. Wed Mullerian carcinogenesis, D. Heterologous sarcoma
C: Wed Mullerian carcinogenesis
Answer: C: Wed Mullerian carcinogenesis 
Explanation: Ans. is c i.e. Mixed Mullerian carcinoma Mixed mullerian carcinoma is mixture of both carcinomatous and sarcomatous element. Represent 50% of all uterine sarcoma. Most common combination is of serous carcinoma with endometrial sarcoma. They most commonly occur in postmenopausal women. Remember : Most common histologic`type of uterine sarcoma is leiomyosarcoma.deg Most common symptom of uterine sarcoma is bleeding. Surgery is main stay of treatment. Also know : Heterologous tumors : If sarcoma component of mixed mullerian tumors mimic extra uterine tissue (viz - striated muscle cell, cailage, adipose tissue and bone) it is known as Heterologous tumor. Homologous tumor : If mesenchymal/sarcomatous component of mixed mullerian tumor consists of malignant endometrial or smooth muscle differentiation, the term homologous is used.