Carcinosarcoma of the Mediastinum: A Rare Cause of Vocal Cord Palsy and Progressive Dysphagia

Carcinosarcoma is a rare type of malignant tumour that possess both the elements of carcinoma and sarcoma. They may occur in various locations such as the uterus, breast, thyroid, lung and gastrointestinal system. However, there are very few primary mediastinal carcinosarcoma reported. We are reporting a case of 75-year-old male who presented with progressive dysphagia and hoarseness for 3 weeks duration. Contrast-enhanced computed tomography (CECT) neck showed features of enlarged mediastinal necrotic nodes and the biopsy of this mass showed morphology and immunohistochemical profile that are consistent with carcinosarcoma. However, patient succumb to his illness soon after diagnosis.