Laparoscopic Surgery for Bilateral Multiple Calcified Ovarian Fibromas: A Case Report

Abstract

Ovarian fibromas generally occurs in eldery women but also can seen rarely in reproductive aged young patients. Management of patients at reproductive ages with ovarian mass like ovarian fibromas, which can occur in young women, is a challenging subject. Although their benign feature, most of the surgical procedure includes laparotomy and oophorectomy. However laparoscopic surgery could be an option for the diagnosis and treatment. We report a case of multiple, bilateral, calcified fibromas in an infertilite 24 year old patient, treated successfully with laparoscopic ovarian sparing and complete resection of the fibromas.There is no common consensus on the treatment of fibromas especially in reproductive-aged women. Particularly in cases like we presented, fertility-sparing approaches like laparoscopic minimally invasive surgical techniques can be the appropriate treatment choice.

Calcified Bilateral Ovarian Fibroma in a 15 Year Old Female: Case Report and Literature Review

“…These syndromes include Meig Syndrome, where the benign ovarian fibroma is associated with ascites and unilateral right sided pleural effusion and this is seen in 1% of ovarian fibromas [14]. Others include; Gorlin-Golt syndrome is an uncommon multi-systemic autosomal dominant disorder also known as Nevoid basal cell carcinoma and its features includes Bilateral Calcified Ovarian fibromas, multiple basal cell carcinoma of the skin, keratocystic odontogenic tumours, anomalies of the vertebral and skull, calcified dural fold, hypertelorism, cardiac fibromas, fetal rhabdomyomas and rhabdomyosarcomas [7,12]. About 75% of calcified bilateral ovarian fibromas are associated with Gorlin-Golt syndrome [12], however the patient presented did not have any of these syndromic features.…”

“…This is an anomaly in which there is widespread mesodermal dysplasia associated with hemangiomas or lymphangiomas [18]. In Soto's syndrome, there is excessive growth with macrocephaly, cerebral gigantism, dolichocephaly and delay in developmental milestones in addition to other congenital anomalies [11,12]. Other syndromic associations includes Peutz-Jeghers syndrome, Gardner and Richard Syndrome with Familial polyposis [7].…”

“…Less than 10% of ovarian fibromas are seen in individuals younger than 30 years of age [9]. They can be unilateral or bilateral; the tumors are unilateral in 90% of cases 70% of which occur on the left [11][12][13].…”