Primary Broad Ligament Endometroid Adenocarcinoma: A Case Report and Review of Literature

Abstract

Since the broad ligament is closely related to other structures, such as the uterus, fallopian tubes, and ovaries, secondary involvement of it due to primary malignancy elsewhere is common. Primary broad ligament malignancies are rare. Only 29 cases of primary broad ligament malignancies have been reported in the literature, out of which only 5 cases of endometrioid adenocarcinoma [1]. Generally, the primary broad ligament tumor diagnosis is made retrospectively, intraoperatively, or on histopathological examination, due to its rarity. I have encountered a case where laparotomy and myomectomy were planned with a preoperative diagnosis of large subserous leiomyoma and intramural leiomyoma. Per operatively large friable mass was present between 2 leaves of the broad ligament on the right side, and a large adenomyoma was present in the posterior wall of the uterus. Subsequently, adenomyomectomy and excision of the broad ligament mass was done. On histopathology, the broad ligament mass was diagnosed as endometroid adenocarcinoma, and the uterine mass as an adenomyoma.