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1/5. Metastatic female adnexal tumor of probable Wolffian origin: a case report and review of the literature.

    female adnexal tumor of probable wolffian origin is a rare neoplasm that can present diagnostic difficulties. We report herein a case of a 60-year-old woman with female adnexal tumor of probable wolffian origin arising within the leaves of a broad ligament and, 5 years later, presenting with metastasis to the liver. The morphologic, immunohistochemical, ultrastructural, and dna ploidy findings of the original and metastatic tumor, differential diagnoses, and the results of the English-language literature review are presented.
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keywords = ligament
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2/5. Old ectopic pregnancy remnants with morphological features of placental site nodule occurring in fallopian tube and broad ligament.

    Placental site nodule (PSN) is an asymptomatic benign proliferation of intermediate trophoblast from a previous gestation that failed to involute. It is most commonly found in the endometrium or endocervix; however, placental site nodule has recently been reported to occur at sites of ectopic gestation. This is the first case of PSN in the broad ligament in direct contact with the fallopian tube. The patient underwent surgery for an adenocarcinoma of the opposite tube. Microscopically and immunohistochemically, the lesion showed the characteristics of a proliferation of intermediate trophoblast.
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ranking = 5
keywords = ligament
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3/5. Malignant epithelial tumor of unknown origin of the broad ligament.

    Malignant epithelial tumor of the broad ligament is rare and to our knowledge only 17 cases have been reported. We report a 54-year-old Japanese woman in whom transvaginal sonography (TVS) and magnetic resonance imaging (MRI) showed a left adnexal tumor. serum CA125 was elevated to 10,000 U/ml. Preoperatively, we diagnosed this tumor was a left ovarian malignant tumor though, it was confirmed a the 47x57 mm tumor in the left broad ligament at laparotomy. Histologically most of the tumor showed serous papillary adenocarcinoma with changes similar to poorly differentiated carcinoma and as seen in transitional cell carcinoma on hematoxylin-eosin staining. After three courses of platinum based adjuvant chemotherapy, the patient is alive with no recurrence at 18 months postoperatively.
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keywords = ligament
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4/5. Primary papillary serous cystadenocarcinoma of broad ligament.

    A rare case of an advanced primary broad ligament carcinoma is discussed, with a review of the literature regarding its incidence, presentation and management. This patient showed a complete response to adjuvant cisplatin-based chemotherapy following panhysterectomy and is presently without any evidence of disease, 15 months after completion of her treatment.
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keywords = ligament
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5/5. Serous papillary carcinoma of the cervix.

    Two cases of serous papillary carcinoma of the cervix are reported. Both patients had clinical stage IB disease. One patient underwent radical hysterectomy and bilateral pelvic lymphadenectomy. The second patient was treated with pelvic radiation therapy after exploration demonstrated uterosacral ligament metastasis. Both patients are alive at 35 months after treatment with local therapy alone. In contrast to ovarian, tubal, and endometrial serous carcinomas, local therapy appears to be effective treatment for serous carcinomas of the cervix.
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