{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T17:14:23Z","timestamp":1764782063786},"reference-count":17,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2015,1,1]],"date-time":"2015-01-01T00:00:00Z","timestamp":1420070400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Surgery"],"published-print":{"date-parts":[[2015]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>. A malignant mixed M\u00fcllerian tumor (MMMT) is a malignant neoplasm found in the uterus, the ovaries, the fallopian tubes, and other parts of the body that contains both carcinomatous (epithelial tissue) and sarcomatous (connective tissue) components. Outcome of MMMTs is determined primarily by depth of invasion and stage. The metastatic background of these lesions is controversial and unknown.<jats:italic>Case Report<\/jats:italic>. A 75-year-old woman was admitted to the hospital with anorexia, weakness, and persistent coughing. The imaging exams revealed a solid, promiscuous lesion of 16 \u00d7 14\u2009cm in dimensions located into the small pelvis, surrounding the uterus and the ovaries. The patient underwent exploratory laparotomy. The mass was removed and the histological examination of the specimen revealed an advanced mesodermal adenocarcinoma of the ovary (MMMT). Nine days after the operation the patient presented with metastatic lesions in the mouth as well as the lungs. Within a month after the discharge from the hospital metastatic lesions of the MMMT were also depicted in the CT brain scan.<jats:italic>Conclusion<\/jats:italic>. Despite the fact that sarcomas have a long-term metastatic potential, to our knowledge this is the first case of M\u00fcllerian adenosarcoma presenting with such extraperitoneal metastases.<\/jats:p>","DOI":"10.1155\/2015\/403431","type":"journal-article","created":{"date-parts":[[2015,12,30]],"date-time":"2015-12-30T16:01:38Z","timestamp":1451491298000},"page":"1-4","source":"Crossref","is-referenced-by-count":4,"title":["Advanced Mesodermal (M\u00fcllerian) Adenosarcoma of the Ovary: Metastases to the Lungs, Mouth, and Brain"],"prefix":"10.1155","volume":"2015","author":[{"given":"A.","family":"Daskalaki","sequence":"first","affiliation":[{"name":"Department of General Surgery, University Hospital of Heraklion, 71500 Crete, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Xenaki","sequence":"additional","affiliation":[{"name":"Department of General Surgery, University Hospital of Heraklion, 71500 Crete, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Athanasakis","sequence":"additional","affiliation":[{"name":"Department of General Surgery, University Hospital of Heraklion, 71500 Crete, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Chrysos","sequence":"additional","affiliation":[{"name":"Department of General Surgery, University Hospital of Heraklion, 71500 Crete, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G.","family":"Chalkiadakis","sequence":"additional","affiliation":[{"name":"Department of General Surgery, University Hospital of Heraklion, 71500 Crete, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"98","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(197410)34:4<1138::AID-CNCR2820340425>3.0.CO;2-9"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/0046-8177(90)90198-e"},{"issue":"10","key":"3","doi-asserted-by":"crossref","first-page":"1243","DOI":"10.1097\/00000478-200210000-00001","volume":"26","year":"2002","journal-title":"The American Journal of Surgical Pathology"},{"issue":"3","key":"4","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1093\/ajcp\/69.1.276","volume":"69","year":"1978","journal-title":"American Journal of Clinical Pathology"},{"key":"5","first-page":"25","volume":"4","year":"1982","journal-title":"Diagnostic Gynecology and Obstetrics"},{"issue":"9","key":"6","first-page":"918","volume":"115","year":"1991","journal-title":"Archives of Pathology and Laboratory Medicine"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2559.1997.d01-596.x"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1002\/dc.1074"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1016\/0020-7292(94)02267-3"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(197809)42:3<1314::AID-CNCR2820420342>3.0.CO;2-V"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(197904)43:4<1439::aid-cncr2820430434>3.0.co;2-a"},{"issue":"4","key":"12","first-page":"939","volume":"5","year":"1998","journal-title":"Oncology Reports"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2004.02.025"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.4081\/rt.2010.e6"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1016\/j.circir.2015.05.008"},{"issue":"6","key":"16","doi-asserted-by":"crossref","first-page":"620","DOI":"10.1097\/PGP.0000000000000089","volume":"33","year":"2014","journal-title":"The International Journal of Gynecological Pathology"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.2147\/ott.s82570"}],"container-title":["Case Reports in Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/cris\/2015\/403431.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cris\/2015\/403431.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cris\/2015\/403431.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,6,23]],"date-time":"2017-06-23T22:47:52Z","timestamp":1498258072000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/cris\/2015\/403431\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015]]},"references-count":17,"alternative-id":["403431","403431"],"URL":"https:\/\/doi.org\/10.1155\/2015\/403431","relation":{},"ISSN":["2090-6900","2090-6919"],"issn-type":[{"value":"2090-6900","type":"print"},{"value":"2090-6919","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015]]}}}