Sonography of ovarian fibromas

Abstract

Sonographicfindings are described in four women with ovarian fibromas. Three of the four women were postmenopausal.Three had only minimal symptoms; the other presented with acute right lower quadrant pain caused by torsion of the tumor. The tumors were large, ranging from 9 to 16 cm in diameter.A distinctive sonographic appearance was found, with a predominantly hypoechoic, solid mass producing striking sound attenuation.

Imaging in gynecological disease (5): clinical and ultrasound characteristics in fibroma and fibrothecoma of the ovary

“…Such atypical ultrasound morphology (e.g. irregular internal echogenicity without stripy shadows or mainly cystic lesion) has also been reported by others16–18 and might explain why some of the benign fibromas and fibrothecomas in our series were misdiagnosed as malignant, borderline or benign tumors other than fibromas19. The original ultrasound examiners suggested a benign diagnosis in most fibromas manifesting regular internal echogenicity (77%) but in only three of eight fibromas with irregular internal echogenicity; irregular contour or internal echogenicity is considered to be a sign of malignancy20.…”

Ovarian fibroma with a twist!

“…4 The sonographic appearance can be variable and some tumors can have cystic components (24%) due to degenerative changes. 5,6 Endometrial polyp…”

Ovarian fibroma with marked ascites and elevated serum levels of CA-125 in a young girl

“…Meig's syndrome is present in 1% to 3% of adult patients and is more common in postmenopausal women with an average age of about 50 years [10,11]. Although ascites is present in 50% of adult patients having fibromas greater than 5 cm in diameter, this association is rarely seen in children [10].…”