Abstract

Aim: Ovarian fibroma, fibrothecoma and thecoma are benign neoplasia of the ovary. The aim of this study is to analyze the clinical characteristics, histopathological results and surgical management of ovarian fibroma/fibrothecoma.Materials and Methods: This is a retrospective study of 51 cases who underwent surgical treatment because of adnexial mass. The cases reported as ovarian fibroma/fibrothecomas were analyzed.Results: The mean age of patients were 58.7 years old. The avarage diameter of tumours was 8.23 cm. The final pathological results were fibroma, fibrothecoma, celluler mitotic fibroma, respectively 45.2%, 35.3%, 13.7%. Ascite was viewed in 6 (11.7%) cases. Ca-125 levels were high in 12 cases (23.5%). 11(21.6%) patients underwent laparoscopy and 40 (78.4%) underwent laparotomy.Conclusion: Ovarian fibroma/fibrothecomas are rarely, benign solid tumors. They can be mistaken as myoma or malignancy because of the apperance of tumor with high level Ca-125. These tumors can be treated succesfully by laparoscopy or laparotomy.

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