Sharma Preeti, Zaheer Sufian, Yadav Amit Kumar, Mandal Ashish Kumar
Resident, Department of Pathology, Vardhman Mahavir Medical College and Safdarjung Hospital , New Delhi, India .
Associate Professor, Department of Pathology, Vardhman Mahavir Medical College and Safdarjung Hospital , New Delhi, India .
J Clin Diagn Res. 2016 Apr;10(4):ED01-2. doi: 10.7860/JCDR/2016/16878.7537. Epub 2016 Apr 1.
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.
已知平滑肌瘤起源于子宫，但很少起源于阔韧带。此外，阔韧带细胞性平滑肌瘤是文献报道中最不常见的变异类型。当平滑肌瘤发生退行性变时，就会出现诊断难题。这在鉴别卵巢肿瘤时会带来临床和影像学上的困难。我们报告一例罕见病例，患者有一个巨大的阔韧带肿物，大小为29×19×9cm，在临床和影像学上均酷似卵巢肿瘤。组织病理学检查显示为阔韧带细胞性平滑肌瘤伴囊性和黏液样变性，此为文献报道的第二例。之所以呈现该病例，不仅是因为其发病率低，还因其在临床评估和影像学检查结果上与卵巢恶性肿瘤存在诊断上的混淆。
