Ovarian Fibrothecoma: Presented as a Large Pelvic Mass

Sunil Vitthalrao Jagtap, Nitin Kshirsagar, Swati Sunil Jagtap
In: International Journal of Health Sciences and Research · 2021 · vol. 11(3) , pp. 145–148 · W3137307231
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Abstract

Fibrothecomas are benign sex cord-stromal ovarian tumors. We present here with a rare case of large fibrothecoma of ovary. A 75 year female presented with complaints of pain abdomen, distension and irregular per vaginal bleeding. On radio imaging reported as solid cystic ovarian mass suggestive of neoplasm? ovarian cystadenoma? ovarian fibrothecoma. Her serum CA 125 was normal. The exploratory laparotomy was done. The excision of left ovarian tumor with total hysterectomy with bilateral salpingo-oophorectomy with right oophorectomy was performed. On gross examination large left ovarian mass measuring 24 x 19 x 8 cm and weighing 950 gm was noted. The histopathological diagnosis was fibrothecoma with large simple cyst of left ovarian mass. We are presenting this case of aggressive behavior of fibrothecoma for it clinical, radiological and histopathological findings.

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