Malignant Smooth Muscle Tumor of Broad Ligament: A Rare Diagnostic Challenge

Leiomyosarcoma (LMS) represent a minority of uterine malignancies, comprising merely 1-2% of the total cases. Those of the broad ligament are very rare, rapidly progressive and highly malignant gynecological tumor.Because of its rarity and atypical localization, we present a case of a young woman 38 years old which initially mimicked an ovarian malignancy and was complicated by multi-organ involvement at presentation. She underwent Total Abdominal Hysterectomy + Bilateral Salphingoophorectomy + Resection of left broad ligament tumor, in which histopathological diagnosis prove as myxoid type of leiomyosarcoma of the left broad ligament. She received total 6 cycle of adjuvant chemotherapy (Cisplatin + Doxorubicin) followed by adjuvant radiotherapy (45Gy/25 fraction) of external beam radiotherapy.