Les tumeurs fibrothécales de l’ovaire. À propos de 12 observations

Chéchia, A; Koubaa, A.; Makhlouf, Tahar; Hitmi, Nadia El; Messaoudi, YA El; Terras, Khaled; Mezni, F.

doi:10.1016/s1297-9589(01)00144-8

Cited by 6 publications

(2 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Le traitement de ces tumeurs ovariennes est chirurgical [7], La voie coelioscopique est la meilleure voie d'abord. À l'exploration, ces tumeurs paraissent le plus souvent suspectes, imposant un examen extemporané.…”

Section: Discussion:-unclassified

Large Benign Ovarian Tumor Mimicking Late Stage Malignant Ovarian Tumor

Idrissi¹,

Aboulfath²,

Errarhay³

et al. 2021

IJAR

View full text Add to dashboard Cite

Ovarian fibrothecoma is a rare, benign neoplasm of the sex cords and stroma of the ovary. Patients may present with abdominal pelvic pain and / or distension, and sometimes postmenopausal bleeding. Large tumors (> 10cm) are often associated with pleural and peritoneal effusion mimicking an advanced ovarian malignancy (Deimon â€“Meigs syndrome). We report 2 cases of giant fibrothecoma associated with ascites and pleurisy. Both patients were postmenopausal. The ovarian tumor was discovered during an increase in abdominal volume in the first patient and as part of the etiological workup of encysted pleurisy in the second. The clinical examination made it possible to objectify a tumor with abdominopelvic development of size greater than 10 cm, the clinical examination also noted, in the two patients, a right basithoracic dullness in favor of a pleurisy and an ascites of average abundance suggesting in the first place a malignant tumor of the ovary, with peritoneal carcinoma. the two patients underwent a pelvic ultrasound, supplemented by an abdominal pelvic CT scan objectifying the presence of a large ovarian mass with pleural and peritoneal effusions. Exploratory laparotomy was required in both patients and underwent an extemporaneous examination which was consistent with the definitive pathological examination in both patients. Both patients underwent total hysterectomy with bilateral adnexectomy and omentectomy with multiple biopsies as the clinical picture was highly suggestive of malignancy. The postoperative follow-up was simple with total regression of peritoneal and pleural effusions in the two cases of Demons-Meigs syndrome. The definitive pathological examination revealed a fibrothecoma. Fibrothecal tumors remain a real challenge from a diagnostic and therapeutic point of view. The fear of cancer is even greater in the presence of Demons-Meigs syndrome. The management of these tumors requires a good clinical and radiological analysis, and it is the histological examination that confirms the diagnosis. The surgery corresponds, in post-menopausal patients, to a hysterectomy with bilateral adnexectomy, while conservative treatment by unilateral adnexectomy is entirely justified in young women who still want fertility.

show abstract

Section: Discussion:-unclassified

Large Benign Ovarian Tumor Mimicking Late Stage Malignant Ovarian Tumor

Idrissi¹,

Aboulfath²,

Errarhay³

et al. 2021

IJAR

View full text Add to dashboard Cite

show abstract

“…is definite as solid stromal tumor of the ovarian sex cord representing 1 to 4% of benign ovarian tumors. 1 It is difficult to diagnose in the preoperative step and generally taken for a uterine fibroid. MRI imaging is more effective than ultrasound in asserting the uterine or ovarian nature of a lateral solid uterine mass.…”

Section: Introductionmentioning

confidence: 99%

Untitled

2022

MOJCR

View full text Add to dashboard Cite

Ovarian fibromas are uncommon, accounting for 4% of ovarian tumors. The clinical examination, ultrasonographic, and tumor marker data remain the best preoperative approach currently available for ovarian tumors. However, the diagnosis remains histological. We hereby present the uncommon case of unilateral ovarian fibroma in a 55-year-old woman who presented with pelvic chronic pain the past 2 years. Underwent a bilateral adnexectomy through laparotomy and pathologic examination confirmed the diagnostic of ovarian fibroma. Our case is to illuminate the diagnosis of ovarian fibroma as a rare diagnosis and it should be considered in the differential diagnosis of solid ovarian masses.

show abstract

Sex Cord-Stromal Tumors

Ghossain

2013

Gynecological Imaging

View full text Add to dashboard Cite

Les tumeurs fibrothécales de l’ovaire. À propos de 12 observations

Cited by 6 publications

References 8 publications

Large Benign Ovarian Tumor Mimicking Late Stage Malignant Ovarian Tumor

Large Benign Ovarian Tumor Mimicking Late Stage Malignant Ovarian Tumor

Untitled

Sex Cord-Stromal Tumors

Contact Info

Product

Resources

About