Open AccessMassive Broad Ligament Cellular Leiomyoma with Cystic Change: A Diagnostic Dilemma
Author(s) -
Preeti Sharma,
Sufian Zaheer,
Amit Kumar Yadav,
Ashish Kumar Mandal
Publication year - 2016
Publication title -
journal of clinical and diagnostic research
Language(s) - English
Resource type - Journals
eISSN - 2249-782X
pISSN - 0973-709X
DOI - 10.7860/jcdr/2016/16878.7537
Subject(s) - broad ligament , medicine , histopathology , malignancy , leiomyoma , pathology , confusion , radiology , uterus , psychology , psychoanalysis
Leiomyomas are known to arise from uterus, but rarely from broad ligament. Further, cellular leiomyoma of broad ligament is the least common variant reported in literature. The diagnostic dilemma arises when leiomyomas undergo degenerative changes. This poses both clinical and radiological difficulty in differentiating with an ovarian tumour. We present an unusual case of a huge broad ligament mass measuring 29x19x09cm, mimicking an ovarian tumour both clinically and radiologically. Histopathology revealed cellular leiomyoma of broad ligament with cystic and myxoid degeneration hereby being the second case reported in literature. This case is being presented not only because of the rare incidence but also due to its diagnostic confusion with ovarian malignancy on clinical evaluation and radiological findings.