OVARIAN FIBROTHECOMA IN PREMENOPAUSAL WOMAN WITH RECENT AMENORRHEA: A CASE REPORT

Fibroids are solid ovarian tumors, usually originating from connective tissue, that vary in size; from the small size of small nodules on the ovarian surface to large neoplasms weighing several kilograms.

a 43-year-old married woman, nulli gravida, without any past medical history,
who complained of Amenorrhea in six past recent months, was referred to our academic hospital in Tabriz, Iran. According to the size of the abdomen, it was not possible to determine the exact size of the uterus by pelvic examination. The laboratory test was normal, and CA-125 was 79.6. In CTS scan, mild pericardial effusion, massive pleural effusion in the right lung, and a solid cystic mass without a sharp limit with size of 114╳91╳91 mm above the uterus that probably was originated from left adnexa was reported. In the right adnexa, a mural nodule cystic lesian with size of 46╳43 mm with a huge amount of abdominal fluid was revealed. According to the patient's symptoms, resend abdominal distension, pain, and Amenorrhea, and medical imaging after counseling with the patient, she was referred to Hemato-oncologists, and nine sessions of chemotherapy was performed and again referred to CT scan. According to the observations of CT scan and clinical examination, the patient underwent laparotomy and bilateral salpingo-oophorectomy and myomectomy was performed.
The frozen section result was included fibro-thecoma, Adeno fibroma cyst, and uterine Leiomyoma, and so was benign.

In cases of accompanying ovarian mass with ascites and pleural effusion, and abnormal uterine bleeding pattern, it is very important to think about benign ovarian mass differential diagnosis such as Fibrothecoma with Meigs syndrome after removal of the ovarian neoplasm, and there is a prompt resolution of both abdominal and pleural fluid.