Extra genital heterologous malignant mixed mullerian tumor of primary peritoneal origin.

The case of an extragenital heterologous malignant mixed müllerian tumor (MMMT) of primary peritoneal origin occurring in a 76-year-old female is presented. A large tumor was seen between the uterus and rectosigmoid occupying the entire pelvis. The uterus, fallopian tubes and ovaries were uninvolved. The tumor was composed of carcinomatous areas showing endometrioid and serous papillary differentiation and sarcomatous areas showing cartilaginous differentiation. The extragenital primary MMMTs of the female peritoneum are thought to originate from the secondary müllerian system. This case is presented for its rarity. To the best our knowledge, this is the first case of extragenital MMMT of primary peritoneal origin in Indian literature.

Radical surgery for cervical carcinoma: experience with "the Tokyo method".

Thirty patients of cervical carcinoma were treated by radical abdominal hysterectomy and pelvic and lower paraaortic lymphadenectomy between November 1986 and October 1988 by the 'Tokyo method.' Blood loss in the majority of the patients (80%) was less than 1000 ml. The incidence of intra and postoperative complications was found to be low. None of the patients developed urinary fistula and the incidence of bladder dysfunction was also low (3.3%). Follow up of the patients for nine to 32 months revealed local recurrent tumour in only one case. We feel that the "Tokyo method" of radical hysterectomy offers several advantages over other methods.