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Primary extraneural ependymoma of the broad ligament: A rare entity


1 Department of Pathology and Surgery, UCMS and GTB Hospital, All India Institute of Medical Sciences, New Delhi, India
2 Department of Radiation Oncology, Dr. Bra Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Preeti Diwaker,
4th Floor, Department of Pathology and Surgery, UCMS and GTB Hospital, Dilshad Garden, New Delhi - 110 095
India
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jcrt.JCRT_672_17

 > Abstract 


Extraneural broad ligament ependymoma is a rare entity. Herein, we present a case of unusually large broad ligament ependymoma in a 32-year-old female with pain and lump in the lower abdomen. Contrast-enhanced computed tomography abdomen revealed multiple heterogeneously enhancing pelvic masses with lobulated surface in bilateral adnexa along with multiple peritoneal nodules. Her relevant serum tumor markers were unremarkable. Core biopsy revealed tumor composed of elongated cells arranged predominantly in true and pseudoperivascular rosettes. The histopathological differentials included ependymoma, primitive neuroectodermal tumor, and teratoma with neural differentiation. Results of immunohistochemistry favored the diagnosis of ependymoma. Surgical exploration and optimal cytoreduction were done, and a final diagnosis of primary broad ligament ependymoma with peritoneal metastasis was made. The patient received six cycles of adjuvant chemotherapy and is doing well after 8-month follow-up. The present case highlights the diagnostic workup and management of a rare and an unusually large broad ligament ependymoma with peritoneal metastasis.

Keywords: Broad ligament, ependymoma, peritoneum



How to cite this URL:
Kumari A, Diwaker P, Gogoi P, Arora VK, Garg PK, Pandey R. Primary extraneural ependymoma of the broad ligament: A rare entity. J Can Res Ther [Epub ahead of print] [cited 2019 May 19]. Available from: http://www.cancerjournal.net/preprintarticle.asp?id=244471

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