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VOLUME 6 , ISSUE 2 ( July-December, 2018 ) > List of Articles

CASE REPORT

A Rare Case of Extensive Degeneration in Bilateral Ovarian Fibroma Mimicking Large Ovarian Cystadenoma

Tjokorda GA Pemayun, I Nyoman G Budiana

Keywords : Cystic degeneration, Ovarian fibroma, Ultrasound

Citation Information : Pemayun TG, Budiana IN. A Rare Case of Extensive Degeneration in Bilateral Ovarian Fibroma Mimicking Large Ovarian Cystadenoma. J South Asian Feder Menopause Soc 2018; 6 (2):139-141.

DOI: 10.5005/jp-journals-10032-1159

License: CC BY-NC 4.0

Published Online: 01-12-2018

Copyright Statement:  Copyright © 2018; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim: To describe a rare variant of ovarian fibroma. Background: Ovarian fibroma is a rare entity, but is the most common solid ovarian tumor. Most of these tumors are solid, and most commonly mistaken with uterine fibroid. In rare cases, they may show a mix of solid-cystic components. Case description: In this case report, we present a rare case of bilateral ovarian fibroma with extensive cystic degeneration, appearing as predominantly cystic adnexal mass on ultrasound. Conclusion: A rare condition with extensive degeneration may be impossible to distinguish with the ovarian epithelial tumor. Thus, ultrasound finding of a cystic lesion should not be used to exclude an ovarian fibroma. Established Facts: Ovarian fibromas are mostly solid, and may sometimes appear as a mixed solid-cystic mass on ultrasound. A unilocular cystic lesion on ultrasound usually excludes this tumor. Novel insights: Extensive degenerations of ovarian fibroma are extremely rare and may cause the tumor to appear as the cystic adnexal mass. When ultrasound examination shows a predominantly cystic lesion, a careful evaluation should be done, before excluding ovarian fibroma


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