Published January 1, 2020 | Version v1
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Primary broad ligament adenocarcinoma

  • 1. Post Graduate Institute of Medical Education and Research
  • 2. All India Institute of Medical Sciences

Description

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 2.1х3х3.2cmsize 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.

⚠️ This is an automatic machine translation with an accuracy of 90-95%

Translated Description (Arabic)

سرطان الرباط العريض الأساسي هو أمر نادر الحدوث مع 28 حالة تم الإبلاغ عنها في جميع أنحاء العالم، حتى الآن. علم الأوبئة واستراتيجية العلاج والتكهنات لا تزال غير مؤكدة بسبب ندرة الحالات. في الوقت الحالي، يتم التعامل مع جميع سرطانات الرباط العريض على غرار سرطان المبيض الظهاري. نحن نبلغ عن حالة أنثى تبلغ من العمر 43 عامًا تعاني من شكوى مطولة من آلام في البطن واحتباس البول المتقطع، مما يتطلب قسطرة متكررة. تم تشخيصها بمرض انسداد الحالب الأيمن. تم إجراء التصوير المقطعي المحسن للبطن (CECT) الذي كشف عن آفة غير متجانسة محددة جيدًا من 2.1 х 3 х 3.2cmsize في الجدار الجانبي والخلفي الأيمن لعنق الرحم. تم إجراء فحص الموجات فوق الصوتية (USG) الموجهة بالإبرة الدقيقة للشفط الخلوي (FNAC) للكتلة وكان يشتبه في أن تكون خبيثة. تحت استئصال البطن الكلي، استئصال البوق الدماغي، استئصال الحويضة، استئصال الحويضة، استئصال الحويضة، استئصال الحوي، استئصال الحويضة، استئصال الحويضة اليمنى، الغشاء البطانية، الغسيل البطانية، الغسيل البطانية. تم إجراء فحص غسيل الدموزيميدي. تم تلقي العلاج الكيميائي واسع النطاق من قبل خمس سنوات.

Translated Description (English)

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 2.1х3х3.2cmsize 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 her surgery since years, and is now alive and free disease.

Translated Description (French)

Primary broad ligament carcinoma is a very rare occurrence with 28 reported cases worldwide, to date.The epidemiology, treatment strategy and pronosis 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 diagnososed with obstructive right hydroureteronephrosis.The abdominal Contrast Enhanced Computed Tomography (CECT) revealed a well-defined heterogeneous lesion of 2.1х3х3.2mscize in the right lateral and posterior wall cervix.Ano (USGuund) - Ned Fined Aspiration Cyled Astology (it) of the mass was suspected was wected we withers of anothering toothering toothering toothering toothery, anothering threen and threen and threen threen threen threen threat threat threat threen threat threat threat threat threaty, threat threat threat threat threat thread threat threading threat thread and threat thread thread threading threat threading thread thread threat threading thread thread threading threat thread thread threat thread threat threading threat thread threat threading threading threading threading threading threading threading threading thread threading threading threading threading threading threading threading threading threading threading threading threading threading threading threes and threading threading threading threading threading threes, and threading threading threading threading threading threading thre

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Additional details

Additional titles

Translated title (Arabic)
سرطان الرباط العريض الأولي
Translated title (English)
Primary broad ligament adenocarcinoma
Translated title (French)
Primary broad ligament adénocarcinome

Identifiers

Other
https://openalex.org/W3082723427
DOI
10.4322/acr.2020.176

GreSIS Basics Section

Is Global South Knowledge
Yes
Country
India

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