Ramírez CFJ, Acosta PLE, Sánchez SS, Arizpe BD

Language: Spanish
References: 8
Page: 217-220
PDF size: 187.82 Kb.

ABSTRACT

Introduction: Stromal tumors account for 8% of ovarian tumors. According to WHO are divided into four categories: 1. Granulosa stromal tumors. 2. Stromal tumors of Sertoli cells. 3. Sex cord stromal tumors, 4. Steroid cell tumors. The most common are granulosa stromal including the thecomas/fibromas. They occur as a pure or mixed form so their histology and diagnosis is sometimes difficult. Case report: A 36 year old female patient, without previous medical history, presented with a one year of dyspepsia, bloating and abdominal pain. Ultrasound and CT reported a 30 cm pelvic mass extending to the epigastrium. We performed surgical treatment and a 21 x 16 cm and 3,600 g right ovarian mass was found, we also found a bicornuate uterus firmly attached to the pedicle of the mass, we perform extended resection including uterus. The intraoperative and definitive pathology showed an ovarian fibrothecoma. The postoperative evolution was uncomplicated improvement in abdominal symptoms. Conclusion: The ovarian fibrothecoma associated with bicornuate uterus in premenopausal women is extremely rare.

REFERENCES

1. González GA, De la Cruz SI et al. Fibrotecoma ovárico: Informe de un caso. Ginec Obstet Mex 2002; 70: 239-243.

2. Ortiz MC. Fibrotecoma ovárico. Ginec Obstet Mex 2003; 71: 167- 168.

3. Paldini D, Testa A et al. Imaging in gynecological disease: clinical and ultrasound characteristics in fibroma and fibrothecoma of the ovary. Ultrasound. Obstet and Gynec 2009; 34(2): 188-195.

4. Bazot M et al. Fibrothecomas of the ovary: CT and US Findings. J Comput Tomogra 1993; 17(5): 754-759.

5. Roth L et al. Recent advances in the pathology and classification of ovarian sex cord-stromal tumors. Int J Gynecol Pato 2006; 25(3): 199-215.

6. Ioffe OB et al. Ovarian stromal tumors. Pathology Case Reviews 2006; 11(1): 58-63.

7. Seracchioli R et al. Conservative treatment of recurrent ovarian fibromas in a young patient affected by Grolin syndrome. Human Reproduction 2001; 16(6): 1261-1263.

8. Fonseca RB et al. Bilateral ovarian fibromas in nevoid basal cell carcinoma syndrome. Radiology 2008; 246(1): 318-321.