Abstract

Case Report

Fibrothecal Tumors of the Ovary - Case Report

M Lamrani*, K Lakhdar, S Sardaoui, Y Alami, F Tijami, H Hachi, Z El-Hanchi and A Baydada

Published: 11 November, 2024 | Volume 7 - Issue 4 | Pages: 117-119

Fibrothecal tumors of the ovary are rare neoplasms, comprising less than 4% of all ovarian tumors and primarily affecting post-menopausal women. These benign tumors arise from the stromal tissue of the ovary and may produce hormones, particularly estrogen. Their diagnosis presents considerable challenges, frequently leading to misclassification as malignant ovarian tumors or uterine myomas. This report describes the case of a 59-year-old woman who presented with abdominal distension and pelvic pain. Clinical examination revealed a large, lobulated mass and imaging studies classified the right ovarian mass as ORADS 4. An exploratory laparotomy confirmed the absence of metastasis, resulting in total hysterectomy, bilateral adnexectomy, and omentectomy. The anatomopathological analysis identified the latero-ovarian mass as a fibrothecoma. Generally, fibrothecal tumors are benign with a favorable prognosis following surgical intervention. Common symptoms include pelvic pain and abdominal distension, and diagnosis typically relies on imaging techniques such as ultrasound and CT, with definitive confirmation achieved through histopathological examination. Given their potential to mimic malignant ovarian cancer, accurate diagnosis is critical and necessitates a multidisciplinary approach.

Read Full Article HTML DOI: 10.29328/journal.cjog.1001177 Cite this Article Read Full Article PDF

Keywords:

Fibrothecal tumors; Ovarian neoplasms; Post-Menopausal

References

  1. Akharraz A, El Fazazi H, Kassidi F, Kouach J, Moussaoui D, Dehayni M. Ovarian fibrothecoma: diagnosis and treatment - About two cases. Int J Innov Sci Res. 2016;21(2):275-280. Available from: https://ijisr.issr-journals.org/abstract.php?article=IJISR-16-050-51
  2. Denis Q. Endocrine tumors of the ovary. In: Medico-Surgical Encyclopedia of Gynecology. Paris: Masson; 1993;680.
  3. Mathlouthi L, Attia Sivanesaratman V, Dutta R, Jayalakshmi P. Ovarian fibroma, clinical and histopathological characteristics. Int J Gynecol Obstet. 1990;33(3):243-247. Available from: https://doi.org/10.1016/0020-7292(90)90009-a
  4. Philippe E, Charpin C. Gynecological and Obstetric Pathology. Paris: Masson; 1992;196-197.
  5. Sfar E, Ben Ammar K, Mahjoub S, Zine S, Kchir N, Chelli H, et al. Anatomoclinical characteristics of ovarian fibrothecal tumors. A study of nineteen cases over twelve years: 1981-1992. Rev Fr Gynecol Obstet. 1994;89(5):315-321. Available from: https://www.scirp.org/reference/referencespapers?referenceid=3136105
  6. Slimani O, Ben Temim R, Ajroudi M, Makhlouf T, Nabil. Contribution of ultrasound in the study of fibrothecal ovarian tumors. Tunisie Medical Journal. 2017;95:469-476. Available from: https://latunisiemedicale.com/pdf/Vol%2095-01-N06.pdf
  7. Radswiki T, Walizai T, Ranchod A. Ovarian fibrothecoma. org. 2024. Available from: https://doi.org/10.53347/rID-14581
  8. Shinagare AB, Meylaerts LJ, Laury AR, Mortele KJ. MRI Features of Ovarian Fibroma and Fibrothecoma With Histopathologic Correlation. AJR Am J Roentgenol. 2012;198(3):W296-303. Available from: https://doi.org/10.2214/ajr.11.7221

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