Abstract
Background: Ovarian cystadenofibromas are rare benign ovarian neoplasms which contain epithelial and fibrous stromal components which give rise to complex cystic and solid areas which will be visualized sonographically as malignant tumours. The management of cystadenofibroma of ovary is complete surgical removal of the tumour. The prognosis is generally excellent with prompt and appropriate treatment as there is a very low risk of recurrence. Case Presentation: A 45-year-old woman presented to the gynaecology clinic complaining of irregular menstrual bleeding, secondary dysmenorrhea and left sided lower abdominal pain of one month duration. On bimanual examination a cystic, nontender, left adnexal mass was found. Imaging revealed a complex cystic mass in left ovary (10 x 9.6 x 8 cm). There was a thin film of pelvic free fluid adjacent to the inferior margin of the lesion. Few non-specific subcentrimetric para aortic, left iliac lymph nodes were seen. CA-125 level was 179 U/ml. A staging laparotomy was performed and included total abdominal hysterectomy, bilateral salphyngoophorectomy and infracolic omentectomy. Bilateral multilocular ovarian cysts (left cyst – 10 x 8cm and right cyst – 3 x 4cm) were present. Histology revealed bilateral serous cystadenofibromas. No atypical or malignant cells were observed in peritoneal washings. Conclusion: Ovarian cystadenofibromas appear malignant on imaging and macroscopy. Frozen sections does not appear to be reliable indicator and only MRI appears to be dependable in predicting the diagnosis of a cystadenofibroma prior to histological confirmation.
Highlights
Summary
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.