Primary broad ligament adenocarcinoma

Authors

  • Arun Elangovan Postgraduate Institute of Medical Education and Research (PGIMER), Department of Radiotherapy & Oncology. Chandigarh, India. https://orcid.org/0000-0002-7849-5280
  • Chinna Babu Dracham Postgraduate Institute of Medical Education and Research (PGIMER), Department of Radiotherapy & Oncology. Chandigarh, India. https://orcid.org/0000-0002-8921-0957
  • Minu Chandra B Muddabhaktuni All India Institute of Medical Sciences, Department of Radiation Oncology. Rishikesh, India.
  • Ariba Zaidi Postgraduate Institute of Medical Education and Research (PGIMER), Department of Pathology. Chandigarh, India.

DOI:

https://doi.org/10.4322/acr.2020.176

Keywords:

Broad ligament, Carcinoma, Endometrioid, Mullerian Ducts

Abstract

Primary broad ligament carcinoma is a very rare occurrence with 28 reported cases worldwide, to date. The epidemiology, treatment strategy and prognosis are still uncertain because of the scarcity of cases. Currently, all broad ligament carcinomas are managed similar to epithelial ovarian cancer. We report the case of a 43-year-old female with a prolonged complaint of abdominal pain and intermittent urinary retention, requiring frequent catheterization. She was diagnosed with obstructive right hydroureteronephrosis. The abdominal Contrast Enhanced Computed Tomography (CECT) revealed a well-defined heterogeneous lesion of 2.1х3х3.2cm size in the right lateral and posterior wall of the cervix. An ultrasound (USG)-guided Fine Needle Aspiration Cytology (FNAC) of the mass was done and it was suspected to be malignant. The patient underwent total abdominal hysterectomy, right salpingo-oophorectomy, pelvic lymph-nodal sampling, and peritoneal washing. Histological examination depicted an endometrioid adenocarcinoma of the broad ligament. She received adjuvant chemotherapy, followed by hormonal therapy. It has been five years since her surgery, and she is now alive and disease free.

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Published

2020-08-24

How to Cite

Elangovan, A. ., Dracham, C. B. ., Muddabhaktuni, M. C. B. ., & Zaidi, A. . (2020). Primary broad ligament adenocarcinoma. Autopsy and Case Reports, 10(4), e2020176. https://doi.org/10.4322/acr.2020.176

Issue

Section

Clinical Case Report and Review