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Fibroid Preoperative Imaging: Ultrasound
Published in Botros R.M.B. Rizk, Yakoub Khalaf, Mostafa A. Borahay, Fibroids and Reproduction, 2020
Nicole Catherine Michel, Shima Albasha, Botros R.M.B. Rizk
Ovarian fibromas are benign tumors of stromal origin, and their classic appearance on ultrasound is of a spherical or elliptical solid tumor with acoustic shadows, even borders, and negligible vascularity on the periphery [31]. Using ultrasound, a pedunculated fibroid can be differentiated from an ovarian fibroma if both ovaries are identified separate from the fibroid. If the fibroid is of a substantial size, or is situated in the broad or round ligament, it might not be possible to detach it from the ovary. In this instance, it is imperative to use color Doppler to confidently pinpoint a pedicle connecting the fibroid to the uterus (Figure 7.11).
Test Paper 7
Published in Teck Yew Chin, Susan Cheng Shelmerdine, Akash Ganguly, Chinedum Anosike, Get Through, 2017
Teck Yew Chin, Susan Cheng Shelmerdine, Akash Ganguly, Chinedum Anosike
Brenner tumours are uncommon tumours that are almost always benign. These tumours have a large fibrous component and therefore have a similar appearance to an ovarian fibroma (low signal on T1- and T2-weighted imaging) on both ultrasound and MRI. Brenner tumours are commonly found with an adjacent epithelial tumour of the same ovary (usually mucinous cystadenoma); hence, in this case, the diagnosis of Brenner tumour is more likely than ovarian fibroma. An ovarian dermoid would usually contain fat but would also be in the differential diagnosis. However, the patient is postmenopausal and so endometrioma and corpus luteal cyst are unlikely.
Benign conditions of the ovary and pelvis
Published in Helen Bickerstaff, Louise C Kenny, Gynaecology, 2017
Ovarian fibromas are the most common sex cord stromal tumours. They are solid ovarian tumours composed of stromal cells. They present in older women, often with torsion due to the heaviness of the ovary. Occasionally, patients may present with Meig syndrome (pleural effusion, ascites and ovarian fibroma). Following removal of the ovarian fibroma, the pleural effusion will usually resolve.
Adolescent ovarian thecoma presenting as progressive hyperandrogenism: case report and review of the literature
Published in Gynecological Endocrinology, 2020
Laura Gaspari, Françoise Paris, Patrice Taourel, Marie-Odile Soyer-Gobillard, Nicolas Kalfa, Charles Sultan
Dhull et al. reported bilateral ovarian thecoma in an 18-year-old with abdominal distention and a palpable abdominopelvic mass [21]. Chan et al. presented a case of ovarian fibroma with massive ascites in a 13-year-old Chinese girl presented with a 2-year history of a large lower abdominal mass [22], while Sugiyama et al. made the same diagnosis in a 12-year-old girl presented with a 2-month history of intermittent abdominal pain [23]. Regarding the cases of neoplasms without ascites, Chen et al. presented an ovarian fibroma in a 7-month-old female infant presenting as a right abdominal mass and reported twelve cases of ovarian fibromas before menarche documented in the English literature [10–12,24–30]. In these cases, there were no reported clinical signs of androgen overproduction.
Bilateral ovarian fibromas with concomitant unilateral serous cystadenoma: a rare case with review of literature
Published in Journal of Obstetrics and Gynaecology, 2019
Vishal Singh, Navpreet Kaur, Shramana Mandal, Nita Khurana, Sangeeta Bhasin
This rare combination of ovarian fibroma with serous cystadenoma has not been described in any of the textbooks, to-date. In an extensive search of the literature, only two cases have been described. The first case dates back to 1946, where Copland and Coleman (1946) described bilateral ovarian fibromas with serous cystadenomas. The second case was described by Jayalakshmi et al. (2012), and described a unilateral ovarian fibroma with serous cystadenoma. To the best of our knowledge, this is the first case in literature with bilateral fibromas and concomitant unilateral serous cystadenoma with meigs syndrome. The fibroma of the ovary is considered to be of stromatogenous origin, while serous cystadenoma originates from the germinal epithelium of the ovary. This case report is unique in itself as it presented with bilateral fibromas and serous cystadenoma component in only one ovary pointing towards a different pathogenesis in each ovary, which was in contrast to the two cases reported so far.
A rare case of recurrences of multiple ovarian fibrothecoma
Published in Journal of Obstetrics and Gynaecology, 2021
Gianluca Raffaello Damiani, Mario Villa, Giulio Licchetta, Maria Cristina Cesana, Edoardo Dinaro, Matteo Loverro, Giuseppe Muzzupapa, Antonio Pellegrino
NMR described another lesion of size 43× 50 mm with solid coin of 23 mm with peripheral enhancement and posteriorly a mass of 74 mm. The lesions in the left adnexa were compatible with recurrence of ovarian fibroma. The patient’s full blood count was normal (Ca125,44 UI/mL) and the other tumour markers (AFP; CA19-9; CEA) were not elevated above the normal range.