Serous cystadenofibroma of ovary mimicking malignancy: a case report and review of diagnostic challenges

B. Kalpana; Aishwina Anand; S. G. Balamurugan

doi:10.18203/2320-1770.ijrcog20253113

Authors

B. Kalpana Department of Reproductive Medicine, Guru Hospital, Madurai, Tamil Nadu, India
Aishwina Anand Department of Obstetrics and Gynecology, Guru Hospital, Madurai, Tamil Nadu, India
S. G. Balamurugan Department of Surgical Oncology, Guru Hospital, Madurai, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20253113

Keywords:

Serous cystadenofibroma, Histopathological examination, Ovary mimicking malignancy

Abstract

Ovarian cystadenofibroma is a rare benign epithelial tumour composed of both glandular and fibrous stromal elements. Although benign, its imaging features mimic those of malignant neoplasms, posing diagnostic and therapeutic challenges. We report a case of 31-year-old nulliparous woman who presented with heavy menstrual bleeding. Clinical examination revealed right adnexal fullness and imaging studies demonstrated a complex multiloculated right ovarian cyst measuring approximately 5cm. a provisional diagnosis of complex ovarian neoplasm was made. Patient underwent right ovarian cystectomy. Histopathological examination confirmed the diagnosis of benign serous cystadenofibroma.

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