A rare case of giant broad ligament leiomyoma mimicking ovarian malignancy

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Article type :

Case Report

Author :

Bhopesh Kadian*, Sanjeev Singla, Rohit Virmani, Garima Dwivedi

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Abstract :

Introduction: Broad ligament leiomyomas are uncommon but when they occur they can present in varying degrees of bladder and bowel obstruction. A definite diagnosis of the broad ligament leiomyoma was made after histopathological report of the specimen obtained after operating the patient. Case Presentation: A 45 years old female had a history of pain in abdomen and increase abdominal girth for 6 months. On the basis of CT scan a diagnosis of left adnexal mass was made. She was advised surgery and subsequently a mass of 30 cm x 21 cm x 22 cm was resected which weighed 11.05 kgs. Clinical Discussion: Hyaline degeneration 8 is most common among all of the secondary changes in leiomyomas. However, a dilemma in diagnosis caused by myxoid degeneration. In present case there is presence of both hyaline and myxoid degeneration. Conclusion: This is a unique presentation of a broad ligament leiomyoma which mimicked ovarian malignancy for which staging laparotomy was done.  

Keyword :

Broad ligament leiomyoma, Ovarian malignancy, Myxoid leiomyoma.
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