Prognosis and predictive factors

Treatment is wide surgical excision combined with radiotherapy. Almost 60% of patients die of local recurrence and/or metastatic disease (lungs, bones, central nervous system), usually within a thirty month period {47,899,2466}.

Fig. 5.34 Carcinosarcoma. Low power . The majority of this tumour is composed of poorly differentiated sarcoma with focal areas of poorly differentiated adenocarcinoma at the periphery.
Fig. 5.35 Carcinosarcoma A Tumour composed of mixtures of adenocarcinomatous and osteosarcomatous components. B Midportion of tumour. Note areas with chondrosarcomatous differentiation (right side) and a small focus with osteosarcomatous differentiation (upper left)

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