Cellular Fibroma of Ovary Coexisting with Proliferative Endometrium Post Menopause: A Rare Presentation

Mohapatra, Vandana; Patra, Susama; Nayak, Mamita; Gharei, Radhamohan; Sahoo, Naresh Kumar

doi:10.7860/jcdr/2017/27199.10247

Cited by 1 publication

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“…Stromal tumors of the ovary include thecoma and fibroma, yet as differentiation between these two types may be difficult, the term "fibrothecoma" has emerged in recognition of the similar immunohistochemical features present in both. 6 Here, we present an unusual clinical manifestation of ovarian fibrothecoma with abdominal distension in a postmenopausal female with chronic kidney disease.…”

Section: Discussionmentioning

confidence: 92%

A Fibrothecoma of the Ovary with Proliferative Endometrium in Postmenopause Women with Chronic Kidney Disease: A Rare Case Report!

Ethirajan,

Ariff,

Kamalakannan

2023

Journal of South Asian Federation of Obstetrics and Gynaecology

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Ovarian fibrothecomas are ovarian stromal tumors that can appear in a variety of clinical circumstances. Aim: In postmenopausal bleeding women, the study's goal is to determine the prevalence, diagnosis, therapeutic needs, and histological characteristics of ovarian fibromas and fibrothecomas. Case description: We present a case of ovarian fibrothecoma with postmenopausal bleeding and abdominal distension in a 64-year-old female with chronic renal disease, measuring 84.96 pg/mL serum testosterone and 18.5 ng/dL serum inhibin-B. A multiseptated cystic lesion measuring 3.6 × 2.4 cm with thin internal septae emerging from the right ovary is shown on MRI pelvis. Total abdominal hysterectomy was performed, as well as bilateral salpingo-oopherectomy. Conclusion: Ovarian fibrothecoma is a rather uncommon condition. The preferred treatment for postmenopausal women is surgical excision, which has an excellent prognosis. In our case, ovarian fibrothecoma with thickened proliferative endometrium, raised CA-125 level, and increased inhibin-B and serum testosterone levels mislead us to the diagnosis as malignancy. This case report represents the possibility of occurrence of benign ovarian tumors with clinical pictures of postmenopausal bleeding and to be wide enough to rule out benign causes.

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Section: Discussionmentioning

confidence: 92%