Unraveling Ovarian Fibroma: A Diagnostic Journey in an Infertile 38-Year-Old Women

Authors

  • Yasmeen Gul
  • Noman Sadiq
  • Nasrin Mumtaz

DOI:

https://doi.org/10.51985/JBUMDC2023205

Keywords:

Ectopic Pregnancy, Fibroma, Infertility, Ovarian Tumour.

Abstract

A 38-year-old woman approached with nine months of abdominal pain, discomfort, concerns regarding infertility therapy, and a history of laparotomy 3 years prior for suspected ectopic pregnancy. The patient has a history of normal menstrual cycles and a body mass index of 22. She was hospitalised for additional testing after a transvaginal ultrasound revealed a mass in the right ovary. Magnetic resonance imaging revealed a right ovarian multifocal fibrosing tumour with no ascites. The right ovary tumours were removed through a laparotomy, while at least half of the left ovary was saved for potential future fertility. Histopathology analysis of the tissue samples confirmed the presence of a right ovarian sex cord-stromal tumour. The presence of calcification in the fibroma and the presence of cells that lack mitotic activity, nuclear atypicality, or necrosis establish the diagnosis of ovarian fibroma. The patient did well following surgery and began menstruating normally at her one-month post-op checkup.

References

Adesina AM, Imaralu JO, Yusuf AO, Ajani MA. Calcified

bilateral ovarian fibroma in a 15 year old female: case report

and literature review. Int J Med Pharm Case Rep.

;12(1):1–7. DOI:https://doi.org/ 10.9734/ijmpcr/

/v12i130099.

Kurman RJ, Carcangiu ML, Herrington CS, Young RH. WHO

Classification of Tumours. 4th ed. Vol. 6. Lyon: IARC; 2014.

pp. 44–56.

GUPTA A, PATHAK S. Bilateral Fibrothecoma: A Rare Case

in Young Woman. J. Clin. Diagnostic Res. 2020;14(5):1-3.

Heo SH, Kim JW, Shin SS, Jeong SI, Lim HS, Choi YD, et

al. Review of ovarian tumors in children and adolescents:

radiologic- pathologic correlation. Radiographics. 2014; 34(7):

–2055. DOI:https://doi.org/10.1148/rg.347130144.

Reitere D, Maðinska M, Lîdaka L, Franckevièa I, Baurovska

I, Apine I. Bilateral ovarian fibromas in a 15-year-old primary

amenorrhea patient: a case report. Radiology Case Reports.

; 17(2): 368-72. https://doi.org/10.1016/ j.radcr. 2021.

002.

Khanduja D, Kajal NC. A case report on Meigs’ syndrome

and elevated serum CA-125: A rare case report. J Pulmonol

Respir Res. 2021; 5: 031-033. DOI:https://doi.org/ 10.29328/

journal.jprr.1001021.

Najmi Z, Mehdizadehkashi A, Kadivar M, Tamannaie Z,

Chaichian S. Laparoscopic approach to a large ovarian fibroma:

A case report. J Reprod Infertil. 2014;15:57–60.

Borukh E, Ilyaev B, Muminiy SN, Babayev M, Musheyev Y,

Levada M. Ovarian Fibroma Presents As Uterine Leiomyoma

in a 61-Year-Old Female: A Case Study. Cureus. 2023;15(3):1-

DOI:https://doi.org/10.7759/cureus.36264.

Adesiyun AG, Ameh N, Umar-Sulayman H. Laparoscopic

Management of Benign Ovarian Tumours. In Gynaecological

Endoscopic Surgery: Basic Concepts. Cham: Springer International;2022.pp 147-152. DOI:https://doi.org/10.1007/978-

-030-86768-3_14.

Guo Y, Jiang T, Ouyang L, Li X, He W, Zhang Z, et al. A

novel diagnostic nomogram based on serological and ultrasound findings for preoperative prediction of malignancy in

patients with ovarian masses. Gynecol Oncol. 2021;160(3):704-

DOI:https://doi.org/10.1016/j.ygyno.2020.12.006.

Bharti S, Khera S, Sharma C, Balakrishnan A. Unilateral

primary ovarian leiomyoma masqueraded as ovarian fibroma:

A histopathological diagnosis. J Family Med Prim Care.

;10(9):3494-99. DOI:https://doi.org/ 10.4103/j

fmpc.jfmpc_2546_20

Downloads

Published

2023-10-23

How to Cite

Gul, Y. ., Sadiq , N. ., & Mumtaz, N. . (2023). Unraveling Ovarian Fibroma: A Diagnostic Journey in an Infertile 38-Year-Old Women. Journal of Bahria University Medical and Dental College, 13(04), 305–7. https://doi.org/10.51985/JBUMDC2023205