We read two articles published in the March issue of the Taiwa- nese Journal of Obstetrics and Gynecology with interest. Two different groups simultaneously reported an extremely rare clinical cases-primary peritoneal carcinosarcoma (primary peritoneal ma- lignant mixed mullerian tumors [PPMMMT]) [1,2]. Dr. Fu and col- leagues reported two cases of PPMMMT occurred within three months [1], and Dr. Huang and colleague reported the successful treatment of woman with shock due to tumor rupture from the PPMMMT {2}. These three patients were managed with standard treatment similar to the management of primary epithelial ovarian cancer, fallopian tube cancer and primary peritoneal serous carci- noma [3,4], including complete cytoreductive surgery following with the combination of paclitaxel and platinum chemotherapy, and two were successful and one had a longer survival [1,2]. We congratulated the successful publication by both groups. However, it is interesting to know how to diagnose the primary peritoneal carcinosarcoma in these patients.
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