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Peer-Reviewed Publication
Gynecol Oncol Rep2026;64102069.April 1, 2026Case Reports

Müllerian adenosarcoma in a young adult: A case report and literature review of diagnostic and management challenges.

Charles Malisaba Posite1,2,3, Biruk Legesse1, Ndungo Etienne2,4, Musubao Justine2,4, Samuel Tumwesigire1,5, Abraham Birungi5, Mirna Batista Santos1, Suleman Essa Ahmed1, Henry Wabinga1, Raymond Atwine1,5
1Department of Pathology, Kampala International University, Ishaka, Uganda.
2Faculty of Medicine, Université Catholique du Graben, Butembo, Democratic Republic of the Congo.
3Planetary Health and Climate Resilience Lab, EarthRoost+, Beni, Democratic Republic of the Congo.
4Department of Gynecology and Obstetrics, Cliniques Universitaires du Graben, Butembo, Democratic Republic of the Congo.
5Department of Pathology, Mbarara University of Science and Technology, Mbarara, Uganda.

Abstract

BACKGROUND: Müllerian adenosarcoma is a rare biphasic uterine malignancy typically affecting postmenopausal women. Its occurrence in young, nulliparous women is extremely uncommon, presenting diagnostic challenges, especially in cases of presumed recurrences. CASE PRESENTATION: A 22-year-old nulliparous woman presented with a presumed recurrent, enlarging prolapsing uterine mass and post-coital b…

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