A Case Report of Ovarian Fibrothecoma in a Premenopausal Women with Recurrent Menorrhagia

Meral Rexhepi; Elizabeta Trajkovska; Hysni Ismaili; Majlinda Azemi

doi:10.3889/oamjms.2020.4176

Authors

Meral Rexhepi Department of Gynecology and Obstetrics, Clinical Hospital, Tetovo, Republic of Macedonia; Faculty of Medical Sciences, University of Tetovo, Republic of Macedonia
Elizabeta Trajkovska Department of Pathology, Clinical Hospital, Tetovo, Republic of Macedonia
Hysni Ismaili Faculty of Medical Sciences, University of Tetovo, Republic of Macedonia
Majlinda Azemi University Clinic of Gynaecology and Obstetrics, University “Ss Cyril and Methodius”, Skopje, Republic of Macedonia

DOI:

https://doi.org/10.3889/oamjms.2020.4176

Keywords:

Ovarian granulosa cell tumor, Fibrothecoma, Endometrial hyperplasia

Abstract

BACKGROUND: Ovarian fibrothecoma is a rare, benign, sex cord-stromal neoplasm, with a typically unilateral location in the ovary, characterized by mixed features of both fibroma and thecoma. Ovarian fibrothecoma is uncommon tumor of gonadal stromal cell origin accounting for 3-4% of all ovarian tumours.

CASE PRESENTATION: We presented a rare case of a 46-year-old patient with recurrent menorrhagia in the past two years with no previous medical, surgical or gynecological history. She underwent two times curettage procedures. At the admission to hospital ultrasonography showed a homogenous solid right ovarian mass of size 2.5 cm x 3.5 cm. Endometrial curettage revealed simple hyperplasia of the endometrium. Diagnostic evaluation and surgical management are discussed along with a brief review of the literature. Total abdominal hysterectomy with bilateral salpingo-oophorectomy was carried out. Histopathology confirmed fibrothecoma of the ovary, proliferative endometrium with hyperplasia without atypia and multiple uterine fibroids.

CONCLUSION: In all patients presenting with recurrent menorrhagia and adnexal tumor the possibility of a granulosa cell tumor must be kept in mind during evaluation.

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