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Leiomyosarcoma of the broad ligament of the uterus – a literature review and case report

Dobrosława L. Sikora-Szczęśniak1, Grzegorz Szczęśniak2, Wacław Sikora1

Affiliacja i adres do korespondencji
Curr Gynecol Oncol 2016, 14 (4), p. 237–246
DOI: 10.15557/CGO.2016.0029
Streszczenie

Introduction: Leiomyosarcoma of the broad ligament of the uterus occurs extremely rarely, usually in postmenopausal women. Objective: A literature review on the occurrence of leiomyosarcoma of the broad ligament and the presentation of a case of leiomyosarcoma of the left broad ligament. Material and methods: Available publications containing case reports regarding leiomyosarcoma of the broad ligament of the uterus were analyzed. Medical records of a 57-year-old patient who underwent surgery at the Department of Gynecology and Obstetrics of the District Hospital in Lipsko n. Wisłą, Poland, were analyzed retrospectively. Earlier surgical treatment and postoperative oncological treatment as well as neurosurgical treatment due to metastasis were also taken into account. Results: In the PubMed database 27 papers reporting 28 cases of leiomyosarcoma of the broad ligament had been published by 28.08.2016. In the case presented in this paper the patient was referred to the department with a diagnosis of left ovarian tumor. A left parametrial and adnexal tumor was removed via laparotomy. The right ovary was excised to the extent that was possible. The appendix and greater omentum were removed. Histopathological diagnosis (tumor of the left parametrium): Leiomyosarcoma G2. The treatment was continued at a cancer clinic, at the Central Teaching Hospital of the Military Medical Academy in Warsaw (at the Department of Neurosurgery) and subsequently at the Department of Radiotherapy of the Holy Cross Cancer Center in Kielce, Poland. The patient died 26 months after the operation. Conclusions: The diagnosis of leiomyosarcoma of the broad ligament in the preoperative period is very difficult. After surgical treatment follow-up diagnostic imaging is necessary due to the aggressive course of the disease.

Słowa kluczowe
leiomyosarcoma of the broad ligament of the uterus, broad ligament, broad ligament tumor