Sonographic features of primary ovarian fibrosarcoma: a report of two cases

Abstract

ABSTRACT

Clinical and sonographic features of uncommon primary ovarian malignancies

“…Kaya et al reported one case of ovarian fibrosarcoma in a 35‐year‐old woman, which appeared as a 5‐cm solid mass 22. More recently, Testa et al reported two cases of ovarian fibrosarcoma and reviewed the literature, with a total of 25 cases 23. Their findings were similar to ours.…”

Laparoscopic ovarian‐sparing surgery for a young woman with an exophytic ovarian fibroma

“…It is sometimes challenging to make a preoperative diagnosis of an ovarian fibroma, especially to rule out malignancy such as fibrosarcomas. In general, fibrosarcomas show an irregular surface and heterogeneous echogenicity by ultrasound, and heterogeneous intensity on T2WI MRI, reflecting varied status of degeneration such as cystic degeneration, edematous change, hemorrhage infarction and necrosis. However, one should be aware of the fact that fibroma also may exhibit these changes, especially in larger fibromas, and this causes misdiagnosis of this tumor as malignant ovarian tumors .…”

“…In our case, fibrosarcoma was not suspected given the regular surface and the lack of blood flow inside the mass. The patient's young age (27 years) also indicated an unlikely diagnosis of fibrosarcoma, because this condition usually occurs in the fifth to eighth decade of life with an average of 58 years, or ranges 35–73 years …”

“…The patient's young age (27 years) also indicated an unlikely diagnosis of fibrosarcoma, because this condition usually occurs in the fifth to eighth decade of life with an average of 58 years, 11 or ranges 35-73 years. 8 It is also important to note that there are two growth patterns of ovarian fibroma, exophytic and endophytic, and approximately 50-55% of ovarian fibromas are exophytic. 1,3 In contrast to endophytic ovarian fibromas, exophytic ovarian fibromas are associated with intact ovaries with a pedicle, and therefore, the affected ovary can be preserved by resecting the tumor at the pedicle.…”

Radiologic Evaluation of Mesenchymal Tumors of the Female Genital Tract

“…61 Hemorrhage and cystic degeneration may be seen. 70 Limited experience indicates that imaging findings are nonspecific and that On contrastenhanced axial CT (A), the tumor appears as a predominantly solid mass (arrows). There is avid FDG uptake on PET (B).…”