Cellular leiomyoma of the broad ligament masquerading an ovarian malignancy

Leiomyoma of the uterus is a common mesenchymal tumor of the female pelvis. Broad ligament leiomyoma is a relatively uncommon neoplasm comprising <1% of cases of leiomyoma. We present a case of a huge cellular broad ligament leiomyoma with cystic, myxoid, and hyaline degeneration clinically prese...

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Main Authors: Durre Aden, Sufian Zaheer, Mukul Singh, Sunil Ranga
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Saudi Journal for Health Sciences
Subjects:
Online Access:http://www.saudijhealthsci.org/article.asp?issn=2278-0521;year=2023;volume=12;issue=2;spage=161;epage=164;aulast=Aden
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author Durre Aden
Sufian Zaheer
Mukul Singh
Sunil Ranga
author_facet Durre Aden
Sufian Zaheer
Mukul Singh
Sunil Ranga
author_sort Durre Aden
collection DOAJ
description Leiomyoma of the uterus is a common mesenchymal tumor of the female pelvis. Broad ligament leiomyoma is a relatively uncommon neoplasm comprising <1% of cases of leiomyoma. We present a case of a huge cellular broad ligament leiomyoma with cystic, myxoid, and hyaline degeneration clinically presenting as an ovarian tumor. Broad ligament leiomyoma is asymptomatic, but if neglected for a long time and it reaches an enormous size, it may result in chronic pelvic pain, compression of the bladder neck, and may even cause bowel dysfunction. They can sometimes clinically and radiologically mimic ovarian neoplasm. Therefore, histopathology plays a pivotal role in the definitive diagnosis. The diagnostic dilemma arises especially when leiomyomas undergo various degenerations. This case is being presented not just because of its rarity and the diagnostic dilemma it causes but to highlight the role of frozen section and histopathology in confirming the diagnosis.
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spelling doaj.art-b99661e6b38a419882ce573f737ea3da2023-08-23T09:47:29ZengWolters Kluwer Medknow PublicationsSaudi Journal for Health Sciences2278-05212023-01-0112216116410.4103/sjhs.sjhs_62_23Cellular leiomyoma of the broad ligament masquerading an ovarian malignancyDurre AdenSufian ZaheerMukul SinghSunil RangaLeiomyoma of the uterus is a common mesenchymal tumor of the female pelvis. Broad ligament leiomyoma is a relatively uncommon neoplasm comprising <1% of cases of leiomyoma. We present a case of a huge cellular broad ligament leiomyoma with cystic, myxoid, and hyaline degeneration clinically presenting as an ovarian tumor. Broad ligament leiomyoma is asymptomatic, but if neglected for a long time and it reaches an enormous size, it may result in chronic pelvic pain, compression of the bladder neck, and may even cause bowel dysfunction. They can sometimes clinically and radiologically mimic ovarian neoplasm. Therefore, histopathology plays a pivotal role in the definitive diagnosis. The diagnostic dilemma arises especially when leiomyomas undergo various degenerations. This case is being presented not just because of its rarity and the diagnostic dilemma it causes but to highlight the role of frozen section and histopathology in confirming the diagnosis.http://www.saudijhealthsci.org/article.asp?issn=2278-0521;year=2023;volume=12;issue=2;spage=161;epage=164;aulast=Adenbroad ligamentcellular leiomyomaovarian tumorovary
spellingShingle Durre Aden
Sufian Zaheer
Mukul Singh
Sunil Ranga
Cellular leiomyoma of the broad ligament masquerading an ovarian malignancy
Saudi Journal for Health Sciences
broad ligament
cellular leiomyoma
ovarian tumor
ovary
title Cellular leiomyoma of the broad ligament masquerading an ovarian malignancy
title_full Cellular leiomyoma of the broad ligament masquerading an ovarian malignancy
title_fullStr Cellular leiomyoma of the broad ligament masquerading an ovarian malignancy
title_full_unstemmed Cellular leiomyoma of the broad ligament masquerading an ovarian malignancy
title_short Cellular leiomyoma of the broad ligament masquerading an ovarian malignancy
title_sort cellular leiomyoma of the broad ligament masquerading an ovarian malignancy
topic broad ligament
cellular leiomyoma
ovarian tumor
ovary
url http://www.saudijhealthsci.org/article.asp?issn=2278-0521;year=2023;volume=12;issue=2;spage=161;epage=164;aulast=Aden
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AT sufianzaheer cellularleiomyomaofthebroadligamentmasqueradinganovarianmalignancy
AT mukulsingh cellularleiomyomaofthebroadligamentmasqueradinganovarianmalignancy
AT sunilranga cellularleiomyomaofthebroadligamentmasqueradinganovarianmalignancy