DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20181375

A rare presentation of ovarian fibrothecoma: a diagnosing dilemma

Kalaivani Logesh, Latha Prasanna

Abstract


Ovarian Fibrothecoma are uncommon tumors of gonadal stromal cell origin accounting for 3-4% of all ovarian tumours. Ovarian fibrothecoma are composed of an admixture of fibrous and the comatous elements. The stromal cell tumors are probably the most inaccurately diagnosed tumor of the female gonad, clinically and histologically. Rarely benign tumours can present with elevated CA125. Here we discuss a rare presentation of Ovarian Fibrothecoma in a 52 years postmenopausal woman with large pelvic mass with ascites and elevated CA125 which we mistook for malignancy. Hence accurate diagnosis is more important before extensive surgical intervention.


Keywords


Ascites, CA 125, Fibrothecoma, Ovary

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References


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):e1-4.

Loizzi V, Cormio G, Resta L, Fattizzi N, Vicino M, Selvaggi L. Pseudo-Meigs syndrome and elevated CA125 associated with struma ovarii. Gynecol. Oncol. 2005;97(1):282-4.

Jacobs I, Oram D, Fairbanks J, Turner J, Frost C, Grudzinskas J. A risk of malignancy index incorporating CA 125, ultrasound and menopausal status for the accurate preoperative diagnosis of ovarian cancer. BJOG: Int J Obstet Gynaecol. 1990;97(10):922-9.

Numanoglu C, Kuru O, Sakinci M, Akbay─▒r O, Ulker V. Ovarian fibroma/fibrothecoma: retrospective cohort study shows limited value of risk of malignancy index score. Aust NZ J Obstet Gynaecol. 2013;53(3):287-92.

Samanth KK, Black WC. Benign ovarian stromal tumors associated with free peritoneal fluid. Am J Obstet Gynecol. 1970;107(4):538-45.

krishnan D,Kumar K,Thomas AA.Unilateral ovarian fibrothecoma with menorrhagia. Malays J Pathol. 2014;36(1):55-8

Mak CW, Tzeng WS, Chen CY, Computed tomography appearance of ovarian fibrothecomas with and without torsion. Acta Radiol. 2009;50(5):570-5.

Wu B, Peng WJ, Gu YJ, Cheng YF, Mao J. MRI diagnosis of ovarian fibrothecomas: tumour appearances and oestrogenic effect features. Br J Radiology. 2014;87(1038):20130634.

Troiano RN, Lazzarini KM, Scoutt LM, Lange RC, Flynn SD, McCarthy S. Fibroma and fibrothecoma of the ovary: MR imaging findings. Radiology. 1997;204(3):795-8.