El-Idrissi Fouad, Fadli Aicha
Service de gynécologie-obstétrique, Maternité universitaire Souissi, CHU Ibn Sina, Rabat, Maroc.
Presse Med. 2004 Sep 11;33(15):1004-5. doi: 10.1016/s0755-4982(04)98823-9.
Leiomyosarcoma of the broad ligament is an extremely rare malignant tumor, with only 13 cases reported.
A 52 year-old woman consulted for pelvic pain and metrorrhagia. Clinical examination revealed a multinodular mass on the right side of the uterus. Pelvic ultrasound revealed a heterogeneous mass. Laparotomy found a malignant tumor arising from the right broad ligament. It was independent from the proximity organs. Treatment consisted in resection and total hysterectomy with bilateral salpingo-oophorectomy. The histologic examination led to the diagnosis of leiomyosarcoma. The patient died three months later.
This is an exceptional case. Most authors underline the poor prognosis when tumoral relapse occurs early, as was the case in our patient.
