Malignant mixed m  XXXX .

@entity1 @entity43 @entity1143 @entity3038 @entity5 @entity4348
Malignant mixed @entity5 ( @entity5 ) of the ovary is a rare and aggressive @entity5 with a poor prognosis. We present a case of a 57-year-old @entity1 with a large pelvic mass, omental cake, ascites and @entity1143 , clinically highly suspect of an @entity43 . Paracentesis and ultrasound-guided biopsy of the ovary were negative for @entity5 . Therefore a CT-guided true cut biopsy was performed. The latter gave a histopathologic diagnosis of an @entity4348 . However after cytoreductive surgery anatomopathologic examination revealed a malignant mixed @entity5 of the ovary with heterologous differentiation. Apparently only one of the two components was found in the puncture. Adjuvant chemotherapy, active against the @entity3038 , was given. At present the @entity1 is well and disease free 35 months after the initial diagnosis. Cytological examination of ascites may be negative in the presence of @entity5 . If a @entity5 consists of two components, puncture can miss one, which may lead to undertreatment. Punctures should be discouraged as a diagnostic tool in @entity1 in whom an @entity43 is suspected.
