Publication: Leiomyoma of Broad Ligament Mimicking Ovarian Malignancy– Report of a Unique Case
Date
2014
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Tumors of the broad ligament are uncommon. Leiomyoma, which is the
commonest female genital neoplasm, is also the most common solid tumor of the
broad ligament. Leiomyomas affect 30% of all women of reproductive age but the
incidence of broad-ligament leiomyoma is <1%. These benign tumors are usually
asymptomatic. A case is being described where a 52 year old presented with
gradual abdominal swelling which was clinically and radiologically diagnosed as
ovarian malignancy. On abdominal and bimanual palpation a soft cystic mass was
noted in the right pelvic region. CA 125 was mildly raised. CEA, CA 19.9 levels were
within normal limit. The radiological diagnosis was ovarian cyst with possibility
of malignant changes. Staging laparotomy and histopathological examination
of the resected specimen revealed a right sided broad ligament leiomyoma with
cystic changes. The degenerative changes in the leiomyoma lead to the clinical
and radiological diagnostic confusion. Thus, though uncommon, broad ligament
leiomyoma should be considered during evaluation of adnexal masses for optimal
patient management. The above description of leiomyoma in the broad ligament is
a highly unique case and thus deserves appropriate attention.
KEY WORDS
Broad ligament mass, cystic changes, clinical and radiological diagnosis, leiomyoma.
Description
Mallick D,1 Saha M,2 Chakrabarti S,2 Chakraborty J2
1Department of Pathology
ESI PGIMSR & ESIC Medical College, Joka, West Bengal, India
2ESI PGIMSR, Manicktala Kolkata,
West Bengal, India
Keywords
Broad ligament mass, Cystic changes, Clinical and radiological diagnosis, Leiomyoma