A case report of serous cystadenofibroma in pregnancy
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20261300Keywords:
Serous cystadenofibroma, Adnexal mass, Pregnancy, Caesarean sectionAbstract
The presence of a giant adnexal mass in pregnancy is a very rare occurrence and is usually asymptomatic which is detected incidentally on a routine ultrasound examination of the first trimester or until it reaches a large size and becomes symptomatic. Serous cystadenofibroma is a cystic neoplasm containing fibrous component and ciliated epithelial cells surrounded by clear serous fluid with smooth or papillary surface with abundant vessels. We present a clinical case of a 24-year-old unbooked second gravida at 40 weeks 3 days who came in labour with a giant tumour of the right ovary. An emergency caesarean section was done followed by right salpingo-oophorectomy. Histopathological examination revealed the mass to be serous cystadenofibroma of the right ovary. We understood that proper antenatal evaluation and strict monitoring of tumour is necessary to decide the time and type of surgical treatment in order to avoid maternal or fetal complications.
References
Kiemtoré S, Zamané H, Sawadogo YA, Sib RS, Komboigo E, Ouédraogo A, et al. Diagnosis and management of a giant ovarian cyst in the gravid-puerperium period: a case report. BMC pregnancy childbirth. 2019;19(1):523.
De Haan J, Verheecke M, Amant F. Management of ovarian cysts and cancer in pregnancy. Facts views vis ObGyn. 2015;7(1):25-32.
Daniyah E, Holder K. Serous Cystadenofibroma Resembling Ovarian Malignancy: A Case Report. SunText Rev Virol. 2022;3(2):135-8.
Matsuda K, Hashiguchi Y, Russo BC, Bessa FL, Madeira FO, Wulf IG, et al. Incidental Discovery of Ovary Cystadenofibroma during Cesarean Section: A Case Report. Asploro J Biomed Clin Case Rep. 2020;3(2):160-3.
Olasinde A, Ogunlaja O, Olasinde YT, Mobolaji-Ojibara MU, Adelaja-Ojulari N, et al. Giant ovarian cyst in a term pregnancy simulating a massive ascites: a case report. Cureus. 2022;14(12):e33123.
Singh R, Poonam L, Nanda SR, Rupa R, Singh AK. Laparoscopic management of a 20 cm ovarian serous cystadenoma at 20 weeks of pregnancy: a case report. Cureus. 2025;17(3).
Cunningham FG, Leveno KJ, Dashe JS, Hoffman BL, Spong CY, Casey BM. Williams Obstetrics. 26th ed. New York: McGraw-Hill Education. 2022;1169.
Calderón León MF, Cabrera Moyano DM, Cárdenas Rodríguez JD, Saltos Román AA, González Sánchez M. Giant ovarian cystoadenoma and pregnancy. J Selva Andina Res Soc. 2025;16(2):175-82.
Cathcart AM, Nezhat FR, Emerson J, Pejovic T, Nezhat CH, Nezhat CR. Adnexal masses during pregnancy: diagnosis, treatment, and prognosis. Am J obstet gynecol. 2023;228(6):601-12.
Berek JS, Kehoe ST. Ovary, fallopian tube and peritoneal cancer. Berek and Novak’s Gynecology: South Asian Edition. 1st ed. Philadelphia: Wolters Kluwer. 2022;1099.
Khandelwal S, Shrivastava D. Successful IVF pregnancy in a young patient with stromal leydig cell tumour and adenofibroma simultaneously. J Evol Med Dent Sci. 2020;9:1613-5.
Berek JS, Kehoe ST. Ovary, fallopian tube and peritoneal cancer. Berek and Novak’s Gynecology: South Asian Edition. 1st ed. Philadelphia: Wolters Kluwer. 2022;1100.
Peters I, Testa AC, Arciuolo D, Amant F, Fagotti A. Low-grade serous ovarian cancer in pregnancy. Int J Gynecol Cancer. 2022;32(6):804-8.
Berek JS, Kehoe ST. Ovary, fallopian tube and peritoneal cancer. Berek and Novak’s Gynecology: South Asian Edition. 1st ed. Philadelphia: Wolters Kluwer. 2022;1106 .
Yüksel S, Alan C. Retrospective evaluation of incidental adnexal masses encountered during cesarean section. Bagcılar Med Bull. 2022;7(1):38-42.
Cunningham FG, Leveno KJ, Dashe JS, Hoffman BL, Spong CY, Casey BM. Williams Obstetrics. 26th ed. New York: McGraw-Hill Education. 2022;1170.
Ande E, Jain S, Rouabhi S, Yoong W. Unexpected borderline ovarian tumours (BOT) in late pregnancy: challenges in management and review of literature. BMJ Case Rep CP. 2020;13(12):e237970.
Oprescu N, Ionescu CA, Dragan I, Fetecau AC, Said-Moldoveanu AL, Chircu-lescu RA. Adnexal masses in pregnancy: perinatal impact. Rom J Morphol Embryol. 2018;59(1):153-8.
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