Leiomyosarcoma of the Broad Ligament With Fever Presentation: A Case Report and Review of Literature
نویسندگان
1 Pars Advanced and Minimally Invasive Manners Research Center, Pars Hospital, Iran University of Medical Sciences, Tehran, IR Iran
2 Pars Advanced and Minimally Invasive Manners Research Center, Pars Hospital, Iran University of Medical Sciences, Tehran, IR Iran
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5 Pars Advanced and Minimally Invasive Manners Research Center, Pars Hospital, Iran University of Medical Sciences, Tehran, IR Iran
6 Pars Advanced and Minimally Invasive Manners Research Center, Pars Hospital, Iran University of Medical Sciences, Tehran, IR Iran
7 Pars Advanced and Minimally Invasive Manners Research Center, Pars Hospital, Iran University of Medical Sciences, Tehran, IR Iran
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چکیده
Introduction: Leiomyosarcoma is a rare gynecologic malignancy that accounts for less than 1% of gynecological malignancies.Leiomyosarcoma of the broad ligament is an even rarer condition. According to Gardner’s criteria, the diagnosis is made when themass is completely separated from the uterus and adnexa. So far, 23 cases of primary leiomyosarcoma of the broad ligament havebeen reported in the literature published in English.Case Presentation: In September 2014, a 55-year-old, gravida 3, para 3 woman with a BMI of 30 and a chief complaint of fever anddizziness was admitted to the infectious-diseases ward of the Pars general hospital affiliated with Iran University of Medical Sciencesin Tehran, Iran. Hersymptomshad begun two weeks before. The results of a fever workup and examination for infectious, metabolic,and immunologic problems were all negative. Imaging modalities revealed an endometrial polyp, two calcifiedmyoma in the bodyof the uterus, and a solid, heterogeneous 70-mm mass in the right para-cervical space, posterior to the broad ligament, and far fromthe ovary. After surgery, a histologic report revealed leiomyosarcoma.Conclusions: Although a leiomyosarcoma of the broad ligament is rare, practitioners should consider it when dealing with massesin the region of the broad ligament. If there is any suspicion of malignancy, especially in the presence of fever, it is recommendedto avoid morcellation during laparoscopy.
