Ovarian Fibroma with Serous Cystadenoma—An Unusual Combination: A Case Report

P S Jayalakshmy,Usha Poothiode,Govind Krishna ,P L Jayalakshmy

doi:10.1155/2012/641085

P S Jayalakshmy, Usha Poothiode + Show 2 more

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https://doi.org/10.1155/2012/641085

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Abstract

Surface epithelial tumors account for more than 90% of ovarian tumors, of which serous tumors comprise 46%. Sex-cord stromal tumors constitute 8% of ovarian tumors, fibroma being the commonest, comprising 70% in this category. Combination of different types of tumors can occur in ovary with most common being Mucinous cystadenoma and Brenner tumour. We report a case of a very rare combination of ovarian tumour-Fibroma with Serous cystadenoma of the ovary. This combination is not mentioned in any standard textbooks or reference books of gynaecologic pathology. Extensive search of the English Literature showed only one reported case with this combination of ovarian tumors. To the best of our knowledge, this is the second case to be reported in English Literature.

Highlights

IntroductionThe most common neoplasms of the ovary, encompass five distinct subtypes, namely, serous, mucinous, endometrioid, clear cell and transitional cell along with combination of these types [1]
Surface epithelial stromal tumors, the most common neoplasms of the ovary, encompass five distinct subtypes, namely, serous, mucinous, endometrioid, clear cell and transitional cell along with combination of these types [1].Tumors with serous differentiation represent 46% of all surface epithelial stromal ovarian neoplasms of which 50% are benign serous tumors [2]
Sex-cord stromal tumors account for approximately 8% of all ovarian tumors, of which fibromas account for approximately half of the cases [4]

Summary

Introduction

The most common neoplasms of the ovary, encompass five distinct subtypes, namely, serous, mucinous, endometrioid, clear cell and transitional cell along with combination of these types [1]. Tumors with serous differentiation represent 46% of all surface epithelial stromal ovarian neoplasms of which 50% are benign serous tumors [2]. These are usually cystic and tend to have thin walls and lack solid areas [3]. We report a case of a benign solid and cystic tumour of the ovary, which showed a combination of ovarian fibroma with a serous cystadenoma. This combination is very rarely reported in the literature and is not mentioned in any standard text books of Gynaecologic pathology

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