Müllerian Adenosarcoma of the Cervix: A Rare Case Highlighting Site-Specific Diagnostic and Management Challenges

Mullerian adenosarcomas are biphasic tumors with benign epithelium and malignant stroma, typically found in the uterine corpus but rarely in the cervix, ovaries and other locations. A diagnostic pitfall is misdiagnosis as benign polyps due to bland cytology. Sarcomatous overgrowth (SO) and myometrial invasion are poor prognosticators. A positive prognosticator may be stalked tumors. Surgery alone can yield favorable outcomes. Here, we present a rare case of Mullerian adenosarcoma of the cervix in a 74-yr-old patient with p53 wild-type, high-grade SO that presented as a cervical polyp with a stalk.