Smruti Sudha Pattnaik , Sushil Kumaar Giri , Jita Parija , Padmalaya Devi , Kunal Goutam , Janmejaya Mohapatra, Bhagyalaxmi Nayak, Manoranjan Mohapatra
PRESENTATION OF CASE A 30 yrs. female presented to OPD with a mass abdomen. FNAC of the mass showed papillary-adenocarcinoma. She had undergone B/L excision of the mass, which was a broad ligament mass, revealed on laparotomy. HPS and IHC revealed it to be malignant high-grade mixed sex cord stromal tumour (granulosa and fibroma type). DIFFERENTIAL DIAGNOSIS These tumours are to be differentiated from other small cell carcinomas like undifferentiated sarcomas, endometrial stromal sarcoma and lymphoma, by a panel of IHC inhibin, CK, EMA, Chromogranin, CD 10. They have to be differentiated from primary broad ligament carcinoma, which has a papillary arrangement of cells, with foci of transitional cells. As the initial FNAC showed adenocarcinoma and absence of transitional cells, this excludes primary endometria broad ligament carcinoma.
