ABSTRACT
Background: Carcinosarcoma or Malignant Mixed Mullerian tumors of the female genital tract are very rare neoplastic lesions of the postmenopausal women. Uterus is the commonest site involved. Ovarian carcinosarcoma is one third less common than uterine carcinosarcoma. As studies comparing ovarian and uterine carcinosarcoma were less prevalent in the literatures, an attempt was made to do the same in our study. Methods: From the reported gynaeco-pathological cases during May 2014- April 2016, carcinosarcomas of the female genital tract were retrieved. Apart from gross and microscopy of the carcinosarcoma of the uterus and ovary, literatures were analyzed to compare both based on its demography, histopathology, behaviour and survival.Results: Two cases, one each of ovarian and uterine carcinosarcoma were reported during our study period. Both gross and microscopy was similar in uterine and ovarian carcinosarcoma. Survival and prognostic factors were analyzed based on the literature.Conclusion: Though the histogenesis and morphology of the carcinosarcoma of both the sites were similar, the uterine carcinosarcoma was found to be more aggressive with poorer prognosis when compared with its ovarian counterpart.