Ovarian fibroma with a twist!
Keywords:Ovarian Fibroma, Post menopausal age, Torsion
Ovarian fibromas are the most common benign solid tumor of the ovary and usually are large and asymptomatic. It can mimic several conditions hence it can often be misdiagnosed pre-operatively. In this case the pre-operative diagnosis was bilateral ovarian tumor with endometrial hyperplasia. The final diagnosis was a torsion left ovarian fibroma with an area of hemorrhagic infarction and a benign endometrial polyp. The benefit of a multidisciplinary team approach and the challenges faced during the peri-operative period are discussed.
Chechia A, Attia L, Temime RB, Makhlouf T, Koubaa A. Incidence, clinical analysis, and management of ovarian fibromas and fibrothecomas. Am J Obstet Gynecol. 2008;199:473.e1-473.e4.
Leung SW, Yuen PM. Ovarian fibroma: a review on the clinical characteristics, diagnostic difficulties, and management options of 23 cases. Gynecol Obstet Invest. 2006;62:1-6.
Sivanesaratman V, Dutta R, Jayalakshmi P. Ovarian fibroma, clinical and histopathological characteristics. Int J Gynecol Obstet. 1990;33:243-7.
Chen H, Liu Y, Shen LF, Jiang MJ, Yang ZF, Fang GP. Ovarian thecoma-fibroma groups: clinical and sonographic features with pathological comparison. J Ovarian Res. 2016;9(1):81.
Athey PA, Malone RS. Sonography of ovarian fibromas/thecomas. J Ultrasound Med. 1987;6:431-6.
Stephenson WM, Lang FL. Sonography of ovarian fibromas. Am J Radiol. 1985;144:1241-3
Yen P, Khong K, Lamba R, Corwin M.T, Gerscovich E.O. Ovarian fibromas and fibrothecomas sonographic correlation with computed tomography and magnetic resonance imaging :a 5-Year Single-institution experience. J Ultrasound Med. 2013;32(1):13-8.
Spinelli C, Gadducci A, Bonadio AG, Berti P, Micolli P. Benign ovarian fibroma associated with free peritoneal fluid and elevated serum CA 125 levels. Minnerva Ginecol. 1999;51:403-7
Abudukadeer A, Azam S, Zunong B, Mutailipu AZ, Huijun B, Qun L. Accuracy of intra-operative frozen section and its role in the diagnostic evaluation of ovarian tumors. Eur J Gynecol Oncol. 2016;37(2):216-20.