Abstract

INTRODUCTION: Serous Cystadenofibroma is a benign, usually asymptomatic and a very rare tumour 1 of fallopian tube. Massive oedema of ovary is not a neoplasm but is an interesting entity, grossly mimicking fibroma of ovary. CASE HISTORY: A fifteen year old girl presented with complaints of abdominal pain and vomiting since three days. She had history of irregular cycles since menarche (once in every six to seven months). Trans-abdominal sonography of the pelvis and Contrast Enhanced Computed Tomography (CECT), revealed Right Tubo-ovarian mass. Exploratory Laparotomy with Right partial salpingo-oophorectomy, and wedge biopsy of left ovary was done. The left ovary wedge biopsy tissue was taken for frozen section and later for hematoxylin and eosin sections. Frozen section showed only a fragment of ovarian stroma and a cyst wall lined by cuboidal to pseudo-stratified columnar epithelium. Histopathological diagnosis for the Right tubo-ovarian mass was confirmed as papillary serous cystadenofibroma of right paratubal cyst with haemorrhagic

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