Jean Noel Buy1 and Michel Ghossain2
(1)
Service Radiologie, Hopital Hotel-Dieu, Paris, France
(2)
Department of Radiology, Hotel Dieu de France, Beirut, Lebanon
31.1.1 Embryology []
31.1.2 Anatomy [, ]
31.1.3 Histology
31.3 Imaging Findings
31.3.2 Different Types of Tumors
Abstract
In its upper part, the mesovarium and the mesosalpinx are very thin, composed almost exclusively of peritoneum.
31.1 Embryology, Anatomy, and Histology
31.1.3 Histology
1.
In its upper part, the mesovarium and the mesosalpinx are very thin, composed almost exclusively of peritoneum.
2.
In the mesometrium, beneath the peritoneum, dense conjunctive fascicles are associated with muscular tissue and adipose tissue.
31.2 WHO Classification of Tumors of the Broad Ligament and Other Uterine Ligaments [4]
There is a broad variety of tumor and tumor-like lesions of the broad ligament (Table 31.1). Simple cysts (often called para-ovarian cysts) are very common and most often correspond to tumor like-lesions (cysts of mullerian, mesonephric or mesothelial origin) rarely to true neoplasms. In the absence of papillary projections or solid components, differentiation of a tumor-like lesion from a true neoplasm can be difficult [4, 5]
.
Table 31.1
WHO classification of tumors of the broad ligament and other uterine ligaments
1. Epithelial tumors |
Mullerian |
Serous tumors (cystadenoma, borderline cystadenoma, serous carcinoma) |
Mucinous carcinomas |
Endometrioid tumors |
Clear cell carcinomas |
Brenner tumor |
Wolffian |
Papillary cystadenoma |
Ependymoma |
2. Mesenchymal tumors |
Benign leiomyomas, lipomas |
Malignant sarcomas (leiomyosarcomas and other sarcomas) |
3. Mixed epithelial-mesenchymal tumors |
Adenomyomas |
Adenosarcomas |
4. Miscellaneous tumors |
Germ cell tumors |
Granulosa cell tumors, thecoma, fibroma, steroid cell tumors |
Adenomatoid tumor |
Pheochromocytoma |
5. Secondary tumors |
Carcinoma |
Lymphoma and leukemia |
6. Tumor like lesions |
Cysts |
Mullerian |
Wolffian |
Mesothelial |
31.3 Imaging Findings
31.3.1 Common Topographic Characters in Favor of the Location to the Broad Ligament
These findings are reported in Table 31.2.
Table 31.2
Topographic findings of a mass of the broad ligament
1. Location in the mesovarium or the mesosalpinx |
Cystic mass separated from the ovary |
Round shape, different from a hydrosalpinx |
2. Location in the mesometrium |
